Active NPI
Sam Pranger Silvaine, LPC
- Professional Counselor
- Chapel Hill, NC
National Provider Identifier
1174994750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11854
- Practice address
- 120 Providence Rd Ste 100
Chapel Hill, NC 27514 - Phone
- (630) 485-0391
- NPI assigned
- Oct 8, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11854 | NC | Primary |
Addresses
Primary practice location
120 Providence Rd Ste 100
Chapel Hill, NC 27514
Mailing address
1236 Preston Grove Ave
Cary, NC 27513-8469
Phone (630) 485-0391
Other practice location 1
69 N Broad St
Brevard, NC 28712-3725
Phone (828) 631-3973
Other practice location 2
1405 Hillsborough St Ste 107
Raleigh, NC 27605-1828
Phone (630) 485-0391
Other names 1
- Samantha Marie Evanoff Pranger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 17, 2024 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11854 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinewood Counseling, PLLC | Professional | Current | Accepting new patients |
Locations
120 Providence Rd
Ste 100
Chapel Hill, NC 27514
Phone (630) 485-0491
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 and National Provider Directory roles.
-
- Professional Counselor
- Chapel Hill, NC
- NPI 1811534308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640390400000",
"number": "1174994750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 PRESTON GROVE AVE",
"city": "CARY",
"state": "NC",
"postal_code": "275138469",
"telephone_number": "630-485-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PROVIDENCE RD STE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27514",
"telephone_number": "630-485-0391"
}
],
"practiceLocations": [
{
"address_1": "69 N Broad St",
"address_purpose": "LOCATION",
"city": "Brevard",
"state": "NC",
"postal_code": "287123725",
"country_code": "US",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 Hillsborough St Ste 107",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276051828",
"country_code": "US",
"telephone_number": "630-485-0391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILVAINE",
"first_name": "SAM",
"middle_name": "PRANGER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-08",
"last_updated": "2021-12-25",
"certification_date": "2021-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "PRANGER",
"middle_name": "MARIE EVANOFF",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.