Ian Joseph Palombo, EDD, MA, LCMHC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0013763 Issued in CO

Practice address

1200 Broad St Ste 101
Durham, NC 27705-3576

Phone

(984) 317-3111

NPI assigned

May 30, 2017

Last updated

Apr 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedarpath Counseling PLLC

  • Professional Counselor
  • Durham, NC
  • NPI 1063344711
  NPD Authorized official
• Spoke Behavioral Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durham, NC
  • NPI 1285577684
  NPD Authorized official
• Mind Body Sport, LLC

  dba Denver Mental Health Collective

  • Professional Counselor
  • Denver, CO
  • NPI 1497273916
  NPD (past) Authorized official

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1891223251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROAD ST STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROAD ST STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053576",
            "telephone_number": "984-317-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBO",
        "first_name": "IAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "EDD, MA, LCMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0013763",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "21433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cedarpathnc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1200 Broad St Ste 101",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277053576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamisha Palmer
• Brianna Renee Palmerson, AGACNP-BC, DNP, MSN
• Palmetto Oxygen LLC
• Emily Palmiter
• Nadia A. Paloma, LCSW
• Kirtana Palreddy-Robertson, PA-C
• Manisha Palta, M.D.
• Adriana Palucci, MS, RDN, LDN
• Meaghan Elizabeth Paluck, FNP
• Chester D. Palumbo, D.C.

• Professional Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.