Individual provider Active NPI

Audrey Parsons Difilippo, MS, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1326090044
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20345 Issued in NC
Practice address
2809 E Millbrook Rd
Raleigh, NC 27604-2849
Phone
(919) 954-5169
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8617 SC
Mental Health Counselor 101YM0800X 20345 NC Primary

Addresses

Primary practice location

2809 E Millbrook Rd
Raleigh, NC 27604-2849

Mailing address

12528 Waterlow Park LN
Raleigh, NC 27614-8879
Phone (919) 275-0768

Other identifiers 1

IdentifierTypeStateIssuer
6102223MedicaidNC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20345NCMDMental Health Counselor
8617SCMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1326090044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12528 WATERLOW PARK LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148879",
            "telephone_number": "919-275-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 E MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276042849",
            "telephone_number": "919-954-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFILIPPO",
        "first_name": "AUDREY",
        "middle_name": "PARSONS",
        "name_prefix": "Mrs.",
        "credential": "MS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8617",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "20345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102223",
            "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 Aug 13, 2024; 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.