Individual provider Active NPI

Sam Pranger Silvaine, LPC

  • Professional Counselor
  • Chapel Hill, NC
National Provider Identifier
1174994750
Registry record updated Dec 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11854 Issued in NC
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

Updated by the provider on Dec 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
11854NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pinewood Counseling, PLLC Professional CurrentSince Dec 9, 2019 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.

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

Verify at the official NPI Registry.