Individual provider Active NPI

Paige Patrick Bohart, LCMHCA, NCC, MAED.

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1144083189
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19187 Issued in NC
Practice address
729 McGilvary St
Fayetteville, NC 28301-5470
Phone
(910) 824-5445
NPI assigned
Feb 1, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19187 NC Primary

Addresses

Primary practice location

729 McGilvary St
Fayetteville, NC 28301-5470

Mailing address

729 McGilvary St
Fayetteville, NC 28301-5470
Phone (910) 824-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121000356 NC Practitioner - Mental Health Counselor 4385179811 Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A19187NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1144083189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 MCGILVARY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015470",
            "telephone_number": "910-824-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 MCGILVARY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015470",
            "telephone_number": "910-824-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHART",
        "first_name": "PAIGE",
        "middle_name": "PATRICK",
        "credential": "LCMHCA, NCC, MAED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.