Individual provider Active NPI

Margaret Anne Vincent, LCMHC-A

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1154998599
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16372 Issued in NC
Practice address
1503 Wayne Memorial Dr Ste E
Goldsboro, NC 27534-2203
Phone
(919) 440-1217
Fax
(919) 587-0007
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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 A16372 NC Primary

Addresses

Primary practice location

1503 Wayne Memorial Dr Ste E
Goldsboro, NC 27534-2203

Mailing address

1503 Wayne Memorial Dr Ste E
Goldsboro, NC 27534-2203
Phone (919) 440-1217

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Warsaw Direct
CONNECT URL Warsaw Health Information Exchange (HIE)
CONNECT URL Goldsboro Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
A16372NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1154998599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 WAYNE MEMORIAL DR STE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342203",
            "telephone_number": "919-440-1217",
            "fax_number": "919-587-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 WAYNE MEMORIAL DR STE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342203",
            "telephone_number": "919-440-1217",
            "fax_number": "919-587-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "MARGARET",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Warsaw",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Warsaw",
            "address_1": "553 E College St",
            "city": "Warsaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283982102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Warsaw",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "553 E College St",
            "city": "Warsaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283982102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Goldsboro",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1503 Wayne Memorial Dr Ste E",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275342203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.