TRAKETA LA'SHAWN DILLARD LPC
NPI 1952902595
Counselor - Professional in Roanoke, VA

Active since November 02, 2020Opted out of Medicare · through Apr 8, 2028
3005 PETERS CREEK RD NW, ROANOKE, VA 24019(540) 251-7728(540) 434-2127 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2023, Apr 10, 2023, Nov 2, 2020 (3 updates tracked since 2020).

About Traketa La'shawn Dillard Lpc NPPES

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

TRAKETA LA'SHAWN DILLARD LPC (NPI 1952902595) is an individual professional provider in Roanoke, Virginia, licensed in Virginia (0701009985) and active in the NPI registry since November 2020. She has opted out of Medicare through April 8, 2028.

NPPES Registry Identity

NPI1952902595
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRAKETA LA'SHAWN DILLARDCredential: LPC
Location Address3005 PETERS CREEK RD NWRoanoke, VA 24019-2738
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5352
Fax(540) 434-2127
Sole ProprietorNo
Enumeration DateNovember 2, 2020
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1952902595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701009985
3005 PETERS CREEK RD NW, Roanoke, VA 24019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Traketa La'shawn Dillard Lpc 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 April 8, 2024 through April 8, 2028.

Opt-Out Effective DateApril 8, 2024
Opt-Out In Effect ThroughApril 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Dentist (Periodontics)
3005 PETERS CREEK RD NW
ROANOKE, VA 24019
Counselor (Mental Health)
3005 PETERS CREEK RD NW
ROANOKE, VA 24019
Social Worker (Clinical)
3005 PETERS CREEK RD NW
ROANOKE, VA 24019
Social Worker (Clinical)
3005 PETERS CREEK RD NW
ROANOKE, VA 24019
Counselor (Professional)
3005 PETERS CREEK RD NW
ROANOKE, VA 24019
Social Worker (Clinical)
3005 PETERS CREEK RD NW
ROANOKE, VA 24019
Counselor
3005 PETERS CREEK RD NW
ROANOKE, VA 24019
Counselor (Professional)
3005 PETERS CREEK RD NW
ROANOKE, VA 24019

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 Traketa Dillard's NPI number?

The NPI number for Traketa Dillard is 1952902595. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Traketa Dillard located?

Traketa Dillard practices at 3005 Peters Creek Rd NW, Roanoke, VA 24019. The listed phone number is (540) 251-7728.

What is Traketa Dillard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Traketa Dillard enrolled in Medicare?

No. Traketa Dillard has opted out of Medicare through April 8, 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 Traketa Dillard was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.