Organization Active NPI

Good Samaritan Counsel PA

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1427246545
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NC200501213 Issued in NC
Legal business name
GOOD SAMARITAN COUNSEL PA
Practice address
5974 Six Forks Rd
Twin Forks Office Plaza
Raleigh, NC 27609-3896
Phone
(919) 358-8634
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Dionne D Harrison, MDNPI 1578755922
Title
Vice President
Phone
(919) 358-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X NC200501213 NC Primary

Addresses

Primary practice location

5974 Six Forks Rd
Twin Forks Office Plaza
Raleigh, NC 27609-3896

Mailing address

11725 Broadfield CT
Raleigh, NC 27617-4255
Phone (919) 358-8634

National Provider Directory

National Provider Directory

Locations

5974 Six Forks Rd
Ofc Plz
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.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1427246545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 BROADFIELD CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174255",
            "telephone_number": "919-358-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 SIX FORKS RD",
            "address_2": "TWIN FORKS OFFICE PLAZA",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093896",
            "telephone_number": "919-358-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN COUNSEL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "919-358-8634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "NC200501213",
            "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 Apr 18, 2016; 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.