Penelope Dill, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-8620 Issued in ID

Practice address

7600 N Mineral Dr Ste 300
Coeur D Alene, ID 83815-7763

Phone

(208) 274-3105

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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": "1710692926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2822",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838352822",
            "telephone_number": "208-818-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N MINERAL DR STE 300",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157763",
            "telephone_number": "208-274-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "PENELOPE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda J Diamond, DIETITIAN
• Delwyn Lee Dick, D.D.S.
• Chelsea Dickman, PA-C
• Kyle Phillip Dietrich, PA-C
• Sadie Dignan
• Grace Traal Dillman, CNA
• Rebecca Dillman
• Macy Dimler
• Andrea Nicole Dinning, D.O.
• Dustin Dale Dinning, DO

• Marriage & Family Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Marriage & Family Therapist in Idaho

• 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.

Verify at the official NPI Registry.