DOUG DIBRIELLE LPCC, LMHC
NPI 1912442526
Counselor - Professional in San Francisco, CA

Q: What is Doug Dibrielle's NPI number?

The NPI number for Doug Dibrielle is 1912442526. It was assigned to this individual provider in the NPPES registry on January 5, 2017. The provider is also known as Doug Dibrielle Lpcc, Lmhc.

Q: What is Doug Dibrielle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is Doug Dibrielle enrolled in Medicare?

No. Doug Dibrielle has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Doug Dibrielle was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since January 05, 2017Opted out of Medicare · through Apr 10, 2028

490 POST ST STE 939, SAN FRANCISCO, CA 94102(617) 429-6838(855) 532-9720 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2026, Mar 7, 2024, Aug 29, 2023 and 4 more (7 updates tracked since 2017).

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About Doug Dibrielle Lpcc, Lmhc NPPES

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

DOUG DIBRIELLE LPCC, LMHC (NPI 1912442526) is an individual professional provider in San Francisco, California, licensed in California (21759) and active in the NPI registry since January 2017. He has opted out of Medicare through April 10, 2028.

NPPES Registry Identity

NPI1912442526

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDOUG DIBRIELLECredential: LPCC, LMHC

Location Address490 POST ST STE 939San Francisco, CA 94102-1414

Mailing Address490 Post St Ste 939San Francisco, CA 94102-1414 · (617) 429-6838 · Fax (855) 532-9720

Phone(617) 429-6838

Fax(855) 532-9720

Sole ProprietorYes

Enumeration DateJanuary 5, 2017

Last NPPES UpdateApril 10, 20267 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1912442526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in CA · 21759✔ Licensed in MA · 8027

Also ListedCounselorTaxonomy 101Y00000X · License 21759 (CA), 8027 (MA)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 21759 (CA), 8027 (MA)

490 POST ST STE 939, San Francisco, CA 94102

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Other Names 1

Professional Name (2)Doug Dibrielle Lpcc, Lmhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Doug Dibrielle Lpcc, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2026 through April 10, 2028.

Opt-Out Effective DateApril 10, 2026

Opt-Out In Effect ThroughApril 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

WELLTHY PSYCHIATRY AND WELLNESS, A PROFESSIONAL NURSING CORPORATION

Clinic/Center (Mental Health (Including Community Mental Health Center))