KELLI LYNN DILLON (NPI# 1619299617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619299617 |
| Entity Type | Individual |
| Full Name | KELLI LYNN DILLON |
| Credential | BSW |
| Practice Address |
1570 Waverly Rorad Kingsport TN 37664 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4232241300 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1570 WAVERLY RORAD |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| 1306961487 | Timothy Ross Martin | Dentist | 1599 Fort Henry Drive, Kingsport, TN 37664 | 2007-03-20 |
| Find all providers in zip 37664 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1013209006 | Patient Resource Management Inc. | Counselor | 409 Woodberry Cir, Kingsport, TN 37663-3390 | 2011-05-09 |
| 1700924479 | Monica Estelle Lewis-patrick | Counselor | 1017 Dale St, Suite B, Kingsport, TN 37660-5364 | 2007-02-02 |
| 1639273642 | Valerie Murray Hopson | Counselor | 2001 Stonebrook Place, Holston Children and Youth, Kingsport, TN 37660 | 2006-09-11 |
| 1336152461 | Eva Ann Altizer | Counselor | 1570 Waverty Rd, Holston Counseling Ctr, Kingsport, TN 37664 | 2006-08-13 |
| 1902428014 | Necole L Richardson | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-05-12 |
| 1922635671 | Calantrica Hunt | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-03-24 |
| 1396390274 | Covenant Counseling Center Inc | Counselor | 441 Clay St Ste 2, Kingsport, TN 37660-3693 | 2019-08-07 |
| 1245774918 | Alessandra M Romano | Counselor | 2001 Stonebrook Pl, Kingsport, TN 37660-4000 | 2016-12-14 |
| 1528495017 | Kristen Taylor Lee | Counselor | 2001 Stonebrook Pl, Kingsport, TN 37660-4000 | 2013-09-30 |
| Find all providers in KINGSPORT | ||||
Please comment or provide details below to improve the information on KELLI LYNN DILLON.
| 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.