Active NPI
Annalicia Dilollo, MS, LMHC, LPC
- Professional Counselor
- Gettysburg, PA
National Provider Identifier
1912304080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0014404
- Practice address
- 16 S 4TH St Apt a
Gettysburg, PA 17325-2001 - Phone
- (833) 472-4267
- NPI assigned
- Dec 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9681 | MA | |
| Professional Counselor | 101YP2500X | 0701011024 | VA | |
| Professional Counselor | 101YP2500X | PC014022 | PA | |
| Professional Counselor | 101YP2500X | 0014404 | CO | Primary |
Addresses
Primary practice location
16 S 4TH St Apt a
Gettysburg, PA 17325-2001
Mailing address
16 S 4TH St Apt a
Gettysburg, PA 17325-2001
Phone (833) 472-4267
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014404 | CO | MD | Professional Counselor |
| PC014022 | PA | MD | Professional Counselor |
| 0701011024 | VA | MD | Professional Counselor |
| 9681 | MA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1912304080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 S 4TH ST APT A",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173252001",
"telephone_number": "833-472-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 S 4TH ST APT A",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173252001",
"telephone_number": "833-472-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILOLLO",
"first_name": "ANNALICIA",
"credential": "MS, LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-04",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9681",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701011024",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC014022",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0014404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.