Patrick Divietri, NCC, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7502 Diplomat Dr Ste B
Manassas, VA 20109-2507

Phone

(703) 479-6278

NPI assigned

Mar 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Samaritan Counseling Center of Western PAGroup PAC ID 3678826476, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Samaritan Counseling Center of Western PA

  • Voluntary or Charitable Agency
  • Sewickley, PA
  • NPI 1629093265
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1871986398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 JACKSON AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104726",
            "telephone_number": "703-479-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 DIPLOMAT DR STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092507",
            "telephone_number": "703-479-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVIETRI",
        "first_name": "PATRICK",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Digiacomo, LPC
• Irene Piol Diolazo Conlon, PT
• Pierre Mawesa Diomi Jr., MD
• Tiffani Leigh Ditamore
• Diverse Expressions Counseling LLC
• Divine Mercy Home
• Dianna Dixon, IBCLC
• Sochia Simone Dixon, NRCPT, R.M.A.,PD, LE
• Tiara Dixon
• Youssef Djebbari

• Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.