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BRIAN DICICCO
NPI 1750838132
Counselor - Mental Health in Providence, RI

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment
591 ADMIRAL ST, PROVIDENCE, RI 02908(401) 383-2546 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2018, Sep 2, 2016 (2 updates tracked since 2016).

About Brian Dicicco NPPES

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

BRIAN DICICCO (NPI 1750838132) is an individual mental health provider in Providence, Rhode Island, licensed in Rhode Island (MHC00990) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750838132
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRIAN DICICCO
Location Address591 ADMIRAL STProvidence, RI 02908-1541
Mailing Address591 Admiral StProvidence, RI 02908-1541
Phone(401) 383-2546
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 2, 2016
Last NPPES UpdateOctober 29, 20182 updates tracked since enumeration
✔ NPI 1750838132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · MHC00990
591 ADMIRAL ST, Providence, RI 02908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Dicicco is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810349958
PECOS Enrollment IDI20240115000302
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Brian Dicicco's NPI number?

The NPI number for Brian Dicicco is 1750838132. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Brian Dicicco located?

Brian Dicicco practices at 591 Admiral St, Providence, RI 02908. The listed phone number is (401) 383-2546.

What is Brian Dicicco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brian Dicicco enrolled in Medicare?

Yes. Brian Dicicco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brian Dicicco was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.