Organization Active NPI

The Good Samaritan Counseling, PA

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1184819054
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2005-01213 Issued in NC
Legal business name
THE GOOD SAMARITAN COUNSELING, PA
Practice address
11725 Broadfield CT
Raleigh, NC 27617-4255
Phone
(919) 358-8634
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Dionne Dillon Harrison, MDNPI 1578755922
Title
Director/Incorporator
Phone
(919) 358-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2005-01213 NC Primary

Addresses

Primary practice location

11725 Broadfield CT
Raleigh, NC 27617-4255

Mailing address

8360 Six Forks Rd
Suite 203
Raleigh, NC 27615-5077
Phone (919) 358-8634

National Provider Directory

National Provider Directory

Locations

4009 Barrett Dr
Ste 103
Raleigh, NC 27609
Phone (919) 358-8634

5974 Six Forks Rd
#A
Raleigh, NC 27609
Phone (919) 358-8634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1184819054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 SIX FORKS RD",
            "address_2": "SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155077",
            "telephone_number": "919-358-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 BROADFIELD CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174255",
            "telephone_number": "919-358-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SAMARITAN COUNSELING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "DIRECTOR/INCORPORATOR",
        "authorized_official_telephone_number": "919-358-8634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2005-01213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.