BETHANY R DILLON MA, LPCC, CCTP
NPI 1164039905
Counselor - Mental Health in Maple Grove, MN

Active since September 25, 2020PECOS EnrolledAccepts Medicare Assignment
12918 63RD AVE N, MAPLE GROVE, MN 55369(651) 238-1855 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany R Dillon Ma, Lpcc, Cctp NPPES

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

BETHANY R DILLON MA, LPCC, CCTP (NPI 1164039905) is an individual mental health provider in Maple Grove, Minnesota, licensed in Minnesota (CC01872) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164039905
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETHANY R DILLONCredential: MA, LPCC, CCTP
Location Address12918 63RD AVE NMaple Grove, MN 55369-6001
Mailing Address12918 63rd Ave NMaple Grove, MN 55369-6001
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
NPI 1164039905 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 MN · CC01872
12918 63RD AVE N, Maple Grove, MN 55369

Accepted 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

Bethany R Dillon Ma, Lpcc, Cctp 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 ID345691481
PECOS Enrollment IDI20240112002153
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 12

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

Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Counselor (Professional)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Marriage & Family Therapist
12918 63RD AVE N
MAPLE GROVE, MN 55369
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369

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 Bethany Dillon's NPI number?

The NPI number for Bethany Dillon is 1164039905. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Bethany Dillon located?

Bethany Dillon practices at 12918 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (651) 238-1855.

What is Bethany Dillon's specialty?

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

Is Bethany Dillon enrolled in Medicare?

Yes. Bethany Dillon 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 Bethany Dillon accept?

Health plans from HealthPartners list Bethany Dillon 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 Bethany Dillon was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.