Individual provider Active NPI

Adrianne Galassie Dietz, LPC

  • Mental Health Counselor
  • Rock Hill, SC
National Provider Identifier
1962887174
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6919 Issued in SC
Practice address
205 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1836
Phone
(803) 327-2012
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 6919 SC Primary

Addresses

Primary practice location

205 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1836

Mailing address

631 Rosemary LN
Tega Cay, SC 29708-5504
Phone (803) 413-7602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528000122 SC Practitioner - Mental Health Counselor 8729420419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6919SCMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 8, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 8, 2024 Accepting new patients

Locations

524 Doctors Ct
Chester, SC 29706
Phone (803) 325-7744

1906 Highway 521 Byp S
Lancaster, SC 29720
Phone (803) 285-1456

448 Lakeshore Pkwy
Ste 205
Rock Hill, SC 29730
Phone (803) 323-0007

205 Piedmont Blvd
Ste 100
Rock Hill, SC 29732
Phone (803) 323-0008

448 Lakeshore Pkwy
Ste 110
Rock Hill, SC 29730
Phone (803) 323-1779

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1962887174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 ROSEMARY LN",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297085504",
            "telephone_number": "803-413-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PIEDMONT BLVD STE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321836",
            "telephone_number": "803-327-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "ADRIANNE",
        "middle_name": "GALASSIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.