Individual provider Active NPI

Doug Dibrielle, LPCC, LMHC

  • Professional Counselor
  • San Francisco, CA
National Provider Identifier
1912442526
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
21759 Issued in CA
Practice address
490 Post St Ste 939
San Francisco, CA 94102-1414
Phone
(617) 429-6838
Fax
(855) 532-9720
NPI assigned
Jan 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 21759 CA
Mental Health Counselor 101YM0800X 21759 CA
Counselor 101Y00000X 8027 MA
Professional Counselor 101YP2500X 8027 MA
Professional Counselor 101YP2500X 21759 CA Primary
Mental Health Counselor 101YM0800X 8027 MA

Addresses

Primary practice location

490 Post St Ste 939
San Francisco, CA 94102-1414

Mailing address

490 Post St Ste 939
San Francisco, CA 94102-1414
Phone (617) 429-6838

Other practice location 1

185 Devonshire St Ste 500
Boston, MA 02110-1407
Phone (617) 429-6838

Other names 1

  • Doug Dibrielle Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2026 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8027MAMDProfessional Counselor
21759CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1912442526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 939",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021414",
            "telephone_number": "617-429-6838",
            "fax_number": "855-532-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 939",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021414",
            "telephone_number": "617-429-6838",
            "fax_number": "855-532-9720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Devonshire St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021101407",
            "country_code": "US",
            "telephone_number": "617-429-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBRIELLE",
        "first_name": "DOUG",
        "credential": "LPCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "21759",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "21759",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "8027",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "8027",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "21759",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUG",
            "last_name": "DIBRIELLE",
            "credential": "LPCC, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.