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MRS. DYLLAN NICOLE COELHO-HOLM MS
NPI 1669840856
Marriage & Family Therapist in Arroyo Grande, CA

Active since September 04, 2015Opted out of Medicare · through Jan 1, 2028
1375 E GRAND AVE # 103-301, ARROYO GRANDE, CA 93420(805) 874-0405 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Oct 26, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Mrs. Dyllan Nicole Coelho-holm Ms NPPES

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

MRS. DYLLAN NICOLE COELHO-HOLM MS (NPI 1669840856) is an individual marriage & family therapist in Arroyo Grande, California, licensed in California (116665) and active in the NPI registry since September 2015. She has opted out of Medicare through January 1, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669840856
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. DYLLAN NICOLE COELHO-HOLMCredential: MS
Location Address1375 E GRAND AVE # 103-301Arroyo Grande, CA 93420-2421
Mailing Address1375 E Grand Ave # 103-301Arroyo Grande, CA 93420-2421 · (805) 874-0405
Phone(805) 874-0405
Sole ProprietorNo
Enumeration DateSeptember 4, 2015
Last NPPES UpdateApril 9, 20245 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1669840856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 116665✔ Licensed in CA · MFT-INTERN-96108
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1375 E GRAND AVE # 103-301, Arroyo Grande, CA 93420
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Other Names 1

Professional Name (2)Dyllan Nicole Coelho

Secondary Practice Locations 2

Location 1101 S B StLompoc, CA 93436-6933 · Phone (805) 735-4376 ext. 804
Location 2105 N Lincoln StSanta Maria, CA 93458-4319 · Phone (805) 928-1707 ext. 132 · Fax (805) 922-4797

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Dyllan Nicole Coelho-holm Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Dyllan Coelho-holm's NPI number?

The NPI number for Dyllan Coelho-holm is 1669840856. It was assigned to this individual provider in the NPPES registry on September 4, 2015. The provider is also known as Dyllan Nicole Coelho.

Where is Dyllan Coelho-holm located?

Dyllan Coelho-holm practices at 1375 E Grand Ave # 103-301, Arroyo Grande, CA 93420. The listed phone number is (805) 874-0405.

What is Dyllan Coelho-holm's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Dyllan Coelho-holm enrolled in Medicare?

No. Dyllan Coelho-holm has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dyllan Coelho-holm was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.