ANGELA C BURGESS LPC NPI 1679622179

NPI Information

NPI: 1679622179
Provider Name: ANGELA C BURGESS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
411 MAIN ST W
AHOSKIE, NC
ZIP 27910
Phone: (252) 862-4411
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Angela C Burgess, LPC is a mental health counselor in Ahoskie, NC. Angela C Burgess, LPC NPI is 1679622179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

411 MAIN ST W
AHOSKIE, NC
ZIP 27910-321
Phone: (252) 862-4411
Fax: (252) 862-4414

The enumeration date for this NPI number is 1/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2246	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	142CC	OTHER	NORTH CAROLINA	BC BS
2	6107280	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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