Angela Nicole Guilette, MA, LCAS, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10300 Issued in NC

Practice address

597 Oliver St
Fayetteville, NC 28304-4432

Phone

(910) 292-6597

Fax

(866) 279-1991

NPI assigned

May 13, 2014

Last updated

May 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Nowiski Herring Former name

Medicare fee-for-service enrollment

Enrolled in NC

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tricare Counseling and Consulting, Inc.Group PAC ID 7416137096, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Tricare Counseling & Consulting, Inc.

  dba Tricare Child & Family Counseling

  • Community/Behavioral Health Agency
  • Dunn, NC
  • NPI 1225343502
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1245641166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 OLIVER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044432",
            "telephone_number": "910-292-6597",
            "fax_number": "866-279-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 OLIVER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044432",
            "telephone_number": "910-292-6597",
            "fax_number": "866-279-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILETTE",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "credential": "MA, LCAS, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3361",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HERRING",
            "middle_name": "NOWISKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Gryb
• Guardian Hart Medical Care
• Kaitlin Ann Guertin
• Guiding Hands Peer Support LLC
• Guiding Wellness Institute
• Jhun Clyner Agtarap Guillermo, RN
• Keri Faith Guined, M.ED, CCC-SLP
• Alawalage Himashi Gunaratne, MD
• Analyn Respecia Gunckel
• Jennifer Nicole Gunderson, SLP

• Professional Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.