MS. DAPHYNE JOY JILLSON


Address: 56 Club Manor Dr, Suite 100, Pueblo, CO 81008
Phone: 7195957728

MS. DAPHYNE JOY JILLSON (NPI# 1154483071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154483071
Entity Type Individual
Full Name MS. DAPHYNE JOY JILLSON
Credential MA LPC CACIII
Practice Address 56 Club Manor Dr
Suite 100
Pueblo
CO 81008
Practice Telephone 7195957728
Practice Fax Number 7195844808
Mailing Telephone 7195957728
Mailing Fax Number 7195844808
Enumeration Date 2006-12-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
3789 CO Behavioral Health & Social Service Providers
X 101YM0800X Counselor
Specialization: Mental Health
1375 CO Behavioral Health & Social Service Providers

Office Location

Street Address 56 CLUB MANOR DR
SUITE 100
City PUEBLO
State CO
Zip Code 81008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093743247 Susan R. Middleton Psychiatry & Neurology 56 Club Manor Dr, Pueblo, CO 81008-1679 2006-06-28
1619305950 Musharraf A. Nizami, M.d. PC Psychiatry & Neurology 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1679 2013-10-24
1689948424 Diana Smith Registered Nurse 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1685 2012-02-24
1609193457 Tanya Dawn Hand Counselor 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1679 2010-05-03
1366672719 Jessica L Cummings Nurse Practitioner 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1685 2009-07-20
1992972731 Parkview Ancillary Services Psychologist 56 Club Manor Dr, Ste 100, Pueblo, CO 81008-1679 2008-05-12
1447325097 Front Range Psychiatric Associates, P.C. Psychiatry & Neurology 56 Club Manor Dr, 100, Pueblo, CO 81008-1679 2006-11-21
1144317785 Musharraf Ashrof Nizami Psychiatry & Neurology 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1679 2006-10-06
1669568556 Steven Dana Martin Psychiatry & Neurology 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1679 2006-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164058913 Healthone Clinic Services - Oncology Hematology LLC Internal Medicine 3678 Parker Blvd, Pueblo, CO 81008 2020-03-12
1073026423 Carmel Community Living Corporation Respite Care 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 2017-11-08
1568987121 Hannah Vivian Roadruck Pharmacist 4200 Dillon Dr., Pueblo, CO 81008 2017-08-04
1184170425 Brett Burana Dentist 729 Us-50, Pueblo, CO 81008 2016-08-28
1760832885 Irby Dental Cottage Dental Hygienist 2099 West St # 50, Suite 180, Pueblo, CO 81008 2016-06-20
1649624362 Curley Peak Dentistry Pllc Dentist 1640 W Fortino Blvd, Pueblo, CO 81008 2016-04-19
1336507847 Kyle Tipton Nurse Anesthetist, Certified Registered 4741 Eagleridge Circle, 206, Pueblo, CO 81008 2016-01-29
1407211931 Center At Park West, LLC Skilled Nursing Facility 3727 Parker Blvd., Pueblo, CO 81008 2015-12-29
1417327461 Nicole Betts Registered Nurse 1310 Fortino Blvd Ste D, Pueblo, CO 81008 2015-10-02
1437578028 Pueblo Modern Dentistry and Orthodontics, LLP Dentist 727 Us Hwy 50 West, Pueblo, CO 81008 2014-04-10
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083220099 Samantha Pino Counselor 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 2020-09-16
1881182830 Manuel Roman Martinez I Counselor 720 N Main St Ste 240, Pueblo, CO 81003-3046 2018-04-25
1952820292 Victoria Lynn Wallace Counselor 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 2017-09-19
1548703937 Bradley James Rusovick Counselor 56 Duke St, 200 West 'b' Street, Suite 226, Pueblo, CO 81005-1604 2016-12-02
1225393267 Michael Todd Kragt Counselor 1515 Fortino Blvd, Suite 120, Pueblo, CO 81008-1664 2012-07-05
1356603229 Tracy D Wilson Counselor 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 2012-06-15
1497011613 Sarah Nicole Sandstrom Counselor 560 S Bond Dr, Pueblo, CO 81007-1697 2012-04-02
1093088890 Oasis Counseling, A Pllc Counselor 200 W 29th St, Pueblo, CO 81008-1004 2012-02-10
1083918247 Leo Paul Arguello Counselor 1711 East Evans Avenue, Ctp, M-irt, Pueblo, CO 81004 2011-01-03
1689831737 Matthew Anthony Capranelli Counselor 719 W 29th St, Pueblo, CO 81008-1183 2008-05-16
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Competitor

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City PUEBLO
Zip Code 81008

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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