Individual provider Active NPI

Romeo A Diccion II, MA, LPC

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1790900934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401001517 Issued in MI
Practice address
2008 Hogback Rd
Suite 8
Ann Arbor, MI 48105-9768
Phone
(734) 786-4900
Fax
(734) 786-8051
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401001517 MI Primary

Addresses

Primary practice location

2008 Hogback Rd
Suite 8
Ann Arbor, MI 48105-9768

Mailing address

231 Riverview Dr
Saline, MI 48176-9131
Phone (734) 944-3306

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 Arts

State licenses

LicenseStateTypeSpecialty
6401001517MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790900934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 RIVERVIEW DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769131",
            "telephone_number": "734-944-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 HOGBACK RD",
            "address_2": "SUITE 8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059768",
            "telephone_number": "734-786-4900",
            "fax_number": "734-786-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICCION",
        "first_name": "ROMEO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401001517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.