Active NPI
Angela Joy Didway, M.S., LPC
- Mental Health Counselor
- Morganton, NC
National Provider Identifier
1174656128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6458
- Practice address
- 1329 Salem Rd
Morganton, NC 28655 - Phone
- (828) 437-5901
- Fax
- (828) 437-4311
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6458 | NC | Primary |
Addresses
Primary practice location
1329 Salem Rd
Morganton, NC 28655
Mailing address
1329 Salem Rd
Morganton, NC 28655-4835
Phone (828) 437-5901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103474 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6458 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intentional Intervention, Inc. | Past | Accepting new patients | |
| Gaston Family Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Morganton, NC
- NPI 1851532907
-
- Federally Qualified Health Center (FQHC)
- Morganton, NC
- NPI 1811816382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1174656128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 SALEM RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554835",
"telephone_number": "828-437-5901",
"fax_number": "828-437-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 SALEM RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "28655",
"telephone_number": "828-437-5901",
"fax_number": "828-437-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDWAY",
"first_name": "ANGELA",
"middle_name": "JOY",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "6458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103474",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.