Individual provider Active NPI

Joseph Steven Rizzolo, LCSW-A

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1528301447
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P007561 Issued in NC
Practice address
2609 North Duke Street
Suite 504
Durham, NC 27704
Phone
(919) 401-1151
Fax
(919) 490-7633
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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 P007561 NC Primary

Addresses

Primary practice location

2609 North Duke Street
Suite 504
Durham, NC 27704

Mailing address

8111 Stagville Rd
Bahama, NC 27503-8669
Phone (919) 621-9012

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

LicenseStateTypeSpecialty
P007561NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1528301447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 STAGVILLE RD",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "275038669",
            "telephone_number": "919-621-9012",
            "fax_number": "919-401-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 NORTH DUKE STREET",
            "address_2": "SUITE 504",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-401-1151",
            "fax_number": "919-490-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZOLO",
        "first_name": "JOSEPH",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P007561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.