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MS. GLENDA SUSAN DILLINGHAM MA
NPI 1164457420
Counselor - Mental Health in Loomis, CA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
3805 TAYLOR RD STE 1, LOOMIS, CA 95650(916) 652-7470(916) 652-7065 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Glenda Susan Dillingham Ma NPPES

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

MS. GLENDA SUSAN DILLINGHAM MA (NPI 1164457420) is an individual mental health provider in Loomis, California, licensed in California (MFC36517) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1164457420
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. GLENDA SUSAN DILLINGHAMCredential: MA
Location Address3805 TAYLOR RD STE 1Loomis, CA 95650-9271
Mailing Address3805 Taylor Rd Ste 1Loomis, CA 95650-9271 · (916) 652-7470 · Fax (916) 652-7065
Phone(916) 652-7470
Fax(916) 652-7065
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164457420 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 CA · MFC36517
3805 TAYLOR RD STE 1, Loomis, CA 95650
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Glenda Susan Dillingham Ma 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 ID4688011760
PECOS Enrollment IDI20240325003313
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Glenda Dillingham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cyti Health PC
478 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978
Dhhs Phs Ihs Phoenix Area
558 mi
Clinic/Center
401 PICACHO ROAD
Winterhaven, CA 92283
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1265719918 (760) 572-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Glenda Dillingham's NPI number?

The NPI number for Glenda Dillingham is 1164457420. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Glenda Dillingham located?

Glenda Dillingham practices at 3805 Taylor Rd Ste 1, Loomis, CA 95650. The listed phone number is (916) 652-7470.

What is Glenda Dillingham's specialty?

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

Is Glenda Dillingham enrolled in Medicare?

Yes. Glenda 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.

Which organizations bill Medicare for Glenda Dillingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenda Dillingham reassigns Medicare benefits to 2 organizations: Cyti Health PC (San Diego, CA) and Dhhs Phs Ihs Phoenix Area (Winterhaven, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenda Dillingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glenda Dillingham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.