Individual provider Active NPI

Kimberly Register Dillon

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1780273847
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16223 Issued in NC
Practice address
7406 Chapel Hill Rd Ste F
Raleigh, NC 27607-5039
Phone
(919) 233-7360
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A16223 NC Primary

Addresses

Primary practice location

7406 Chapel Hill Rd Ste F
Raleigh, NC 27607-5039

Mailing address

5208 Wynneford Way
Raleigh, NC 27614-9815
Phone (919) 740-0938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 5, 2024 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A16223NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Partners, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1780273847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 WYNNEFORD WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149815",
            "telephone_number": "919-740-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 CHAPEL HILL RD STE F",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075039",
            "telephone_number": "919-233-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "KIMBERLY",
        "middle_name": "REGISTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.