Individual provider Active NPI

Anna Liersaph, L.P.C.

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1295192516
Registry record updated Jan 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8601 Issued in NC
Practice address
8045 Corporate Center Dr
Charlotte, NC 28226-4555
Phone
(704) 733-9010
Fax
(980) 238-2151
NPI assigned
Jan 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2016

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 8601 NC Primary

Addresses

Primary practice location

8045 Corporate Center Dr
Charlotte, NC 28226-4555

Mailing address

8045 Corporate Center Dr
Charlotte, NC 28226-4555
Phone (704) 733-9010

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8601NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ardent Path Counseling and Clinical Consultation Current Accepting new patients

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": "1452902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1295192516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 CORPORATE CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264555",
            "telephone_number": "704-733-9010",
            "fax_number": "980-238-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 CORPORATE CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264555",
            "telephone_number": "704-733-9010",
            "fax_number": "980-238-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIERSAPH",
        "first_name": "ANNA",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.