Dominique C Dillard, LPC, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3984 Issued in AL

Practice address

3812 Meridian St N
Huntsville, AL 35811-1118

Phone

(256) 631-5410

NPI assigned

Dec 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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

• Speaklife Enterprise Inc.

  • Mental Health Counselor
  • Huntsville, AL
  • NPI 1316794696
  NPD Authorized official

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1770054553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 IRONDALE DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35810",
            "telephone_number": "256-631-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 MERIDIAN ST N",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111118",
            "telephone_number": "256-631-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "DOMINIQUE",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "LPC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3984",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3984",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "AL",
            "license": "3984",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "3984",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dickinson
• Mary Rebecca Dickson
• Murray Dickson, DMD
• Digestive Disease Center, PC
• Louisa Nunzia Dileone, LPC
• Jennifer Anderson Dillard, M.CD., CCC-A
• Annika Lena Dillmann
• Wendy Dillon
• Libbie Leigh Dineen, PHARM D
• Jay Lawrence Dinerman, M.D.

• Professional Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.