Individual provider Active NPI

Mary N Pangle, PHD LPC NCC LCAS

  • Counselor
  • Pisgah Forest, NC
National Provider Identifier
1043451685
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3393 Issued in NC
Practice address
59 Gash LN
Pisgah Forest, NC 28768-7799
Phone
(828) 884-4567
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3393 NC Primary

Addresses

Primary practice location

59 Gash LN
Pisgah Forest, NC 28768-7799

Mailing address

59 Gash LN
Pisgah Forest, NC 28768-7799
Phone (828) 884-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1043451685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GASH LN",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "287687799",
            "telephone_number": "828-884-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GASH LN",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "287687799",
            "telephone_number": "828-884-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGLE",
        "first_name": "MARY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHD LPC NCC LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "3393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pisgah Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.