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JUSTIN MATTHEW DILLON LAC, LADAC
NPI 1487930038
Counselor - Mental Health in Harrison, AR

Active since October 27, 2011PECOS Enrolled
823 N MAIN ST, HARRISON, AR 72601(870) 741-2960(870) 741-2965 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Matthew Dillon Lac, Ladac NPPES

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

JUSTIN MATTHEW DILLON LAC, LADAC (NPI 1487930038) is an individual mental health provider in Harrison, Arkansas, licensed in Arkansas (A1208060) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487930038
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJUSTIN MATTHEW DILLONCredential: LAC, LADAC
Location Address823 N MAIN STHarrison, AR 72601-2914
Mailing Address3147b Prairie View RdHarrison, AR 72601-5587 · (870) 391-1585 · Fax (870) 741-2965
Phone(870) 741-2960
Fax(870) 741-2965
Sole ProprietorNo
Enumeration DateOctober 27, 2011
Last NPPES UpdateNovember 12, 2014
✔ NPI 1487930038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A1208060
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 350L (AR)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
823 N MAIN ST, Harrison, AR 72601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Matthew Dillon Lac, Ladac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Justin Dillon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chenal Family Therapy, Plc
110 mi
Mental Health
10311 W MARKHAM ST
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 94 clinicians in this Medicare group
NPI 1356604219 (501) 781-2230

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

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.

SAMANTHA JAN STEWART MHPP
Case Manager/Care Coordinator
823 N MAIN ST
HARRISON, AR 72601
Boone County (870) 741-2960
LORI HENTHORNE MHPP
Case Manager/Care Coordinator
823 N MAIN ST
HARRISON, AR 72601
Boone County (870) 741-2960
CHARITY PANKEY MHPP
Case Manager/Care Coordinator
823 N MAIN ST
HARRISON, AR 72601
Boone County (870) 741-2960
DAWN BRASEL MHPP
Case Manager/Care Coordinator
823 N MAIN ST
HARRISON, AR 72601
Boone County (870) 741-2960
ASHLEY STILL MHPP
Case Manager/Care Coordinator
823 N MAIN ST
HARRISON, AR 72601
Boone County (870) 741-2960
SARAH LOPSHIRE MHPP
Case Manager/Care Coordinator
823 N MAIN ST
HARRISON, AR 72601
Boone County (870) 741-2960
KEISHA MUDGETT MHPP
Case Manager/Care Coordinator
823 N MAIN ST
HARRISON, AR 72601
Boone County (870) 741-2960
CHRIS WALTER MHPP
Case Manager/Care Coordinator
823 N MAIN ST
HARRISON, AR 72601
Boone County (870) 741-2960

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 Justin Dillon's NPI number?

The NPI number for Justin Dillon is 1487930038. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Where is Justin Dillon located?

Justin Dillon practices at 823 N Main St, Harrison, AR 72601. The listed phone number is (870) 741-2960.

What is Justin Dillon's specialty?

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

Is Justin Dillon enrolled in Medicare?

Yes. Justin Dillon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Dillon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Dillon reassigns Medicare benefits to Chenal Family Therapy, Plc (Little Rock, AR). The 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 Justin Dillon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Dillon accept?

Health plans from Health Advantage, Octave and UnitedHealthcare list Justin 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 Justin Dillon was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.