Individual provider Active NPI

Angela Diane Hensley, MA/EDS LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Marion, NC
National Provider Identifier
1346511904
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1914 Issued in NC
Practice address
117 W Medical CT
Marion, NC 28752-5564
Phone
(828) 659-3966
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1914 NC Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

117 W Medical CT
Marion, NC 28752-5564

Mailing address

136 Commercial Dr
Forest City, NC 28043-2801
Phone (828) 245-8886

Other practice location 1

136 Commercial Dr
Forest City, NC 28043-2801
Phone (828) 245-8886 ext. 319

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
I20240307002305 NC Practitioner - Mental Health Counselor 5698111086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1914NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western North Carolina Community Health Services, Inc. CurrentSince Dec 26, 2023 Accepting new patients

Locations

257 Biltmore Ave
Asheville, NC 28801
Phone (828) 285-0622

136 Creekview Ct
Marion, NC 28752
Phone (828) 285-0622

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1346511904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 COMMERCIAL DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432801",
            "telephone_number": "828-245-8886",
            "fax_number": "828-245-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MEDICAL CT",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525564",
            "telephone_number": "828-659-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280432801",
            "country_code": "US",
            "telephone_number": "828-245-8886 x319",
            "fax_number": "828-245-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "ANGELA",
        "middle_name": "DIANE",
        "credential": "MA/EDS LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1914",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.