Active NPI
Robert G Dichiaro, L.P.C.
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1265651202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5559
- Practice address
- 3820 Merton Dr
Suite 217
Raleigh, NC 27609-6609 - Phone
- (919) 341-5799
- Fax
- (919) 341-5677
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5559 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 0082551 | NM |
Addresses
Primary practice location
3820 Merton Dr
Suite 217
Raleigh, NC 27609-6609
Mailing address
113 Farrington Dr Apt a
Raleigh, NC 27615-2910
Phone (505) 815-9648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103537 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0082551 | NM | MD | Mental Health Counselor |
| 5559 | NC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Pathways Counseling & Consulting | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1265651202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 FARRINGTON DR APT A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276152910",
"telephone_number": "505-815-9648",
"fax_number": "505-815-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 MERTON DR",
"address_2": "SUITE 217",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096609",
"telephone_number": "919-341-5799",
"fax_number": "919-341-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICHIARO",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "5559",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0082551",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103537",
"state": "NC"
}
],
"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 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.