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EVELYN MARIE DILLINGHAM
NPI 1053618116
Counselor - Mental Health in South Jordan, UT

Active since February 24, 2011PECOS EnrolledAccepts Medicare Assignment
1206 W SOUTH JORDAN PKWY STE D, SOUTH JORDAN, UT 84095(801) 302-3801(801) 302-7248 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Aug 2, 2022 (2 updates tracked since 2022).

About Evelyn Marie Dillingham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVELYN MARIE DILLINGHAM (NPI 1053618116) is an individual mental health provider in South Jordan, Utah, licensed in Utah (288073-6004) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053618116
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEVELYN MARIE DILLINGHAM
Location Address1206 W SOUTH JORDAN PKWY STE DSouth Jordan, UT 84095-5519
Mailing Address1206 W South Jordan Pkwy Ste DSouth Jordan, UT 84095-5519 · (801) 302-3801 · Fax (801) 302-7248
Phone(801) 302-3801
Fax(801) 302-7248
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 24, 2011
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1053618116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 288073-6004
1206 W SOUTH JORDAN PKWY STE D, South Jordan, UT 84095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evelyn Marie Dillingham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466944913
PECOS Enrollment IDI20251122001054
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORY WOODROW HATFIELD LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
BROOKE JENSEN
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
CINDY LEE WALLACE LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
MINDY MEYERS SAARI LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
HAILEE JEAN MECHAM
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
KIMBERLY SUE NEWMAN LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
HALIE ELIZABETH CHECKETTS LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
PAMELA DENISE BAILEY-GOOD
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evelyn Dillingham's NPI number?

The NPI number for Evelyn Dillingham is 1053618116. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Where is Evelyn Dillingham located?

Evelyn Dillingham practices at 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095. The listed phone number is (801) 302-3801.

What is Evelyn Dillingham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Evelyn Dillingham enrolled in Medicare?

Yes. Evelyn Dillingham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Evelyn Dillingham accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Evelyn Dillingham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evelyn Dillingham was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.