Individual provider Active NPI

Julia Dillon

  • Mental Health Counselor
  • Coto de Caza, CA
National Provider Identifier
1902646268
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
31962 Via Pavo Real
Coto de Caza, CA 92679-4119
Phone
(949) 812-1642
NPI assigned
May 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

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 Primary

Addresses

Primary practice location

31962 Via Pavo Real
Coto de Caza, CA 92679-4119

Mailing address

31962 Via Pavo Real
Coto de Caza, CA 92679-4119
Phone (949) 812-1642

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pm.officeally.com Other

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

NPI Registry JSON

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1902646268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31962 VIA PAVO REAL",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926794119",
            "telephone_number": "949-812-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31962 VIA PAVO REAL",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926794119",
            "telephone_number": "949-812-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pm.officeally.com",
            "affiliation": "N",
            "endpointDescription": "Office Ally Electronic Health Record System",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "address_1": "31962 Via Pavo Real",
            "city": "Coto DE Caza",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926794119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coto de Caza, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.