Active NPI
Doug Dibrielle, LPCC, LMHC
- Professional Counselor
- San Francisco, CA
National Provider Identifier
1912442526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 21759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8027 | MA | MD | Professional Counselor |
| 21759 | CA | MD | Medical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.