Individual provider Active NPI

Rosario Sralla, LPC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1033567318
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A11731 Issued in NC
Practice address
5720 Creedmoor Rd Ste 201
Raleigh, NC 27612-2383
Phone
(919) 977-6018
Fax
(919) 300-7471
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11731 NC Primary

Addresses

Primary practice location

5720 Creedmoor Rd Ste 201
Raleigh, NC 27612-2383

Mailing address

177 Redbud Dr
Clayton, NC 27520-4800
Phone (361) 563-9508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC, ME, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240424004063 TX Practitioner - Mental Health Counselor 1658711619 Reassigns benefits to 3 organizations
I20240606003427 NC Practitioner - Mental Health Counselor 1658711619 Reassigns benefits to 2 organizations
I20260506002498 ME Practitioner - Mental Health Counselor 1658711619 Reassigns benefits to 1 organization
I20260513000694 AZ Practitioner - Mental Health Counselor 1658711619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11731NCMDMental Health Counselor
11731NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical North Carolina, PLLC CurrentSince Apr 9, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 12, 2024 Accepting new patients
Dynamic Resources & Guidance Inc PastSince Mar 20, 2013 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

63 Federal St
Portland, ME 04101
Phone (207) 560-0551

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1033567318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 REDBUD DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204800",
            "telephone_number": "361-563-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122383",
            "telephone_number": "919-977-6018",
            "fax_number": "919-300-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRALLA",
        "first_name": "ROSARIO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.