Active NPI
Carmen Mercedes Dills
- Counselor
- Mount Vernon, WA
National Provider Identifier
1710692884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 61174681
- Practice address
- 1601 E College Way
Mount Vernon, WA 98273-5612 - Phone
- (360) 763-5595
- Fax
- (360) 399-7639
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 61174681 | WA | Primary |
Addresses
Primary practice location
1601 E College Way
Mount Vernon, WA 98273-5612
Mailing address
17632 Jordan Rd
Arlington, WA 98223-7967
Phone (360) 322-9584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61174681 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1710692884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17632 JORDAN RD",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982237967",
"telephone_number": "360-322-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E COLLEGE WAY",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735612",
"telephone_number": "360-763-5595",
"fax_number": "360-399-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLS",
"first_name": "CARMEN",
"middle_name": "MERCEDES",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "61174681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.