Active NPI
Marie E. Dillinger, LMHC
- Professional Counselor
- Clearwater, FL
National Provider Identifier
1942590195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH10875
- Practice address
- 2115 Rivers Edge CT
Clearwater, FL 33763-2418 - Phone
- (727) 643-4340
- Fax
- (866) 266-6555
- NPI assigned
- Apr 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH10875 | FL | Primary |
Addresses
Primary practice location
2115 Rivers Edge CT
Clearwater, FL 33763-2418
Mailing address
2115 Rivers Edge CT
Clearwater, FL 33763-2418
Phone (727) 643-4340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12275129 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
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": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1942590195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 RIVERS EDGE CT",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337632418",
"telephone_number": "727-643-4340",
"fax_number": "866-266-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 RIVERS EDGE CT",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337632418",
"telephone_number": "727-643-4340",
"fax_number": "866-266-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLINGER",
"first_name": "MARIE",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH10875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12275129",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.