Active NPI
Angela Stewart Corbett, LCAS, LCMHCA
- Addiction (Substance Use Disorder) Counselor
- Greensboro, NC
National Provider Identifier
1336722602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0718000483
- Practice address
- 3803 Bluestem Dr
Greensboro, NC 27405-8250 - Phone
- (336) 270-1640
- NPI assigned
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A16414 | NC | |
| Mental Health Counselor | 101YM0800X | LCAS24681 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0718000483 | VA | Primary |
Addresses
Primary practice location
3803 Bluestem Dr
Greensboro, NC 27405-8250
Mailing address
3803 Bluestem Dr
Greensboro, NC 27405-8250
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | angelastewart74@yahoo.com | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0718000483 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| A16414 | NC | MD | Mental Health Counselor |
| LCAS24681 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1336722602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 BLUESTEM DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274058250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 BLUESTEM DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274058250",
"telephone_number": "336-270-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "ANGELA",
"middle_name": "STEWART",
"credential": "LCAS, LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A16414",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "LCAS24681",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0718000483",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "angelastewart74@yahoo.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "work",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work email",
"address_1": "3803 Bluestem Dr",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274058250",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.