Active NPI
Angela Marie Hargrow-Anthony, PH.D.
- Counseling Psychologist
- Charlotte, NC
National Provider Identifier
1316021884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2409
- Practice address
- 1931 J N Pease PL
Suite 202
Charlotte, NC 28262-4544 - Phone
- (704) 717-2800
- Fax
- (704) 717-6200
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2409 | NC | Primary |
Addresses
Primary practice location
1931 J N Pease PL
Suite 202
Charlotte, NC 28262-4544
Mailing address
1931 J N Pease PL
Suite 202
Charlotte, NC 28262-4544
Phone (704) 717-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000309 | Medicaid | NC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2409 | NC | MD | Professional Counselor |
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.
-
- Counseling Psychologist
- Charlotte, NC
- NPI 1245465533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1316021884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 J N PEASE PL",
"address_2": "SUITE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624544",
"telephone_number": "704-717-2800",
"fax_number": "704-717-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 J N PEASE PL",
"address_2": "SUITE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624544",
"telephone_number": "704-717-2800",
"fax_number": "704-717-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROW-ANTHONY",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "2409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000309",
"state": "NC"
}
],
"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 3, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.