Organization Active NPI

Angel Works, Pediatric and Adult Counseling

  • Mental Health Counselor
  • Kernersville, NC
National Provider Identifier
1184037251
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8154 Issued in NC
Legal business name
ANGEL WORKS, PEDIATRIC AND ADULT COUNSELING
Practice address
233 W Mountain St
Suite 205
Kernersville, NC 27284-2529
Phone
(336) 908-8564
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Deisha C Angel, NCC, LPCNPI 1679888390
Title
Director
Phone
(336) 908-8564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 8154 NC Primary

Addresses

Primary practice location

233 W Mountain St
Suite 205
Kernersville, NC 27284-2529

Mailing address

233 W Mountain St
Kernersville, NC 27284-2529
Phone (336) 908-8564

National Provider Directory

National Provider Directory
Tax ID family
Angel Works Pediatric and Adult Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

233 W Mountain St
Ste 205
Kernersville, NC 27284
Phone (336) 908-8564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1184037251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W MOUNTAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842529",
            "telephone_number": "336-908-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W MOUNTAIN ST",
            "address_2": "SUITE 205",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842529",
            "telephone_number": "336-908-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WORKS, PEDIATRIC AND ADULT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "DEISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-908-8564",
        "authorized_official_credential": "NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.