Caitlin Dallas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701012077 Issued in VA

Practice address

422 Elm Ave SW
Roanoke, VA 24016-3920

Phone

(540) 701-3704

NPI assigned

Dec 30, 2022

Last updated

Dec 30, 2022By 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Tree Planted, Inc

  dba A Tree Planted Collective

  • Professional Counselor
  • Roanoke, VA
  • NPI 1588381065
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1730892175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163920",
            "telephone_number": "540-701-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lea Daigneault, LCSW
• Matthew Ryan Dailey, MD
• Tina M. Dailey, DO
• Christopher Clay Dake, ATC
• Apostolos Dallas, M.D.
• Robert L. Dallas, M.D.
• Elizabeth Leaman Dalton, MS, CCC-SLP
• Kali Denise Dalton
• Sarah Stuckey Dalton
• Kimberly Daly, CRNA

• Mental Health Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.