Individual provider Active NPI

Angela Boone Greene, LPC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1316338759
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11081 Issued in NC
Practice address
901 Arsenal Ave Ste 202
Fayetteville, NC 28305-5478
Phone
(910) 323-3368
Fax
(910) 486-7000
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11081 NC
Mental Health Counselor 101YM0800X 11081 NC Primary

Addresses

Primary practice location

901 Arsenal Ave Ste 202
Fayetteville, NC 28305-5478

Mailing address

901 Arsenal Ave Ste 202
Fayetteville, NC 28305-5478
Phone (910) 323-3368

Other practice location 1

901 Arsenal Ave Ste 202
Fayetteville, NC 28305-5478
Phone (910) 323-3368

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307002477 NC Practitioner - Mental Health Counselor 7012353410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11081NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Biblical Counseling Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

901 Arsenal Ave
Ste 201
Fayetteville, NC 28305
Phone (910) 323-3368

901 Arsenal Ave
Ste 202
Fayetteville, NC 28305
Phone (910) 323-3368

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1316338759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055478",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055478",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Arsenal Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055478",
            "country_code": "US",
            "telephone_number": "910-323-3368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ANGELA",
        "middle_name": "BOONE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11081",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.