MR. KENNETH DITTMAR M. S.
NPI 1457447765
Marriage & Family Therapist in Fayetteville, NC

Active since October 05, 2006
711 EXECUTIVE PL, FAYETTEVILLE, NC 28305(910) 222-6357(910) 678-9963 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth Dittmar M. S. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH DITTMAR M. S. (NPI 1457447765) is an individual marriage & family therapist in Fayetteville, North Carolina, licensed in North Carolina (459) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1457447765
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KENNETH DITTMARCredential: M. S.
Location Address711 EXECUTIVE PLFayetteville, NC 28305-5193
Mailing Address109 Bradford AveFayetteville, NC 28301-5401 · (910) 323-2311
Fax(910) 678-9963
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 29, 2010
NPI 1457447765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in NC · 459
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 503 (NC)
711 EXECUTIVE PL, Fayetteville, NC 28305

Other Identifiers 1

Medicaid6107330NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Psychiatry & Neurology (Psychiatry)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Psychologist
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Residential Treatment Facility, Emotionally Disturbed Children
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305
Physician Assistant
711 EXECUTIVE PL
FAYETTEVILLE, NC 28305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Dittmar's NPI number?

The NPI number for Kenneth Dittmar is 1457447765. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Kenneth Dittmar located?

Kenneth Dittmar practices at 711 Executive Pl, Fayetteville, NC 28305. The listed phone number is (910) 222-6357.

What is Kenneth Dittmar's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Dittmar was last updated on March 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.