Individual provider Active NPI

Evelyn Sarah Dillman, LPC, LMFT

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1801228218
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67305 Issued in TX
Practice address
1810 Shiloh Rd Ste 601
Tyler, TX 75703-2457
Phone
(903) 630-5740
Fax
(903) 630-5867
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201697 TX
Professional Counselor 101YP2500X 67305 TX Primary

Addresses

Primary practice location

1810 Shiloh Rd Ste 601
Tyler, TX 75703-2457

Mailing address

1810 Shiloh Rd Ste 601
Tyler, TX 75703-2457
Phone (903) 630-5740

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

LicenseStateTypeSpecialty
67305TXMDProfessional Counselor
201697TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True Path Counseling LLC Current Accepting new patients
Zachary Herrin Professional Past Accepting new patients
Evelyn Dillman Counseling Professional Past Accepting new patients

Locations

1800 Shiloh Rd
Ste 101
Tyler, TX 75703
Phone (903) 437-4467

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1801228218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 SHILOH RD STE 601",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032457",
            "telephone_number": "903-630-5740",
            "fax_number": "903-630-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SHILOH RD STE 601",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032457",
            "telephone_number": "903-630-5740",
            "fax_number": "903-630-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMAN",
        "first_name": "EVELYN",
        "middle_name": "SARAH",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201697",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.