Active NPI
Angela Pack, CT, LPC
- Counselor
- Columbus, OH
National Provider Identifier
1164998373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.1801278-TRNE
- Practice address
- 428 E Main St
Columbus, OH 43215-5344 - Phone
- (614) 237-7237
- NPI assigned
- Oct 16, 2018
- Last updated
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1801278-TRNE | OH | Primary |
Addresses
Primary practice location
428 E Main St
Columbus, OH 43215-5344
Mailing address
1119 Deansway Dr
Pataskala, OH 43062-7580
Phone (740) 251-7720
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.1801278-TRNE | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Branch Counseling Center, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Whitehall, OH
- NPI 1497122493
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1164998373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 DEANSWAY DR",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627580",
"telephone_number": "740-251-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155344",
"telephone_number": "614-237-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACK",
"first_name": "ANGELA",
"credential": "CT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1801278-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.