Pam J Page Carpenter

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17010 Issued in NC

Practice address

9700 Ten Ten Rd
Raleigh, NC 27603-8427

Phone

(919) 756-1191

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Healing Oak, PLLC

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
  • NPI 1659074896
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1346905981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 TEN TEN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038427",
            "telephone_number": "919-756-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 TEN TEN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038427",
            "telephone_number": "919-756-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE CARPENTER",
        "first_name": "PAM",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26831",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padroy Inc (Manor At Riverbrooke)
• Elizabeth Snowden Pagano, D.C.
• Kristen Elizabeth Pagano, LPC, CRC
• Noah Angelo Pagano
• Casey Paganucci, LICSW
• Amanda Marie Page, PHARMD
• Branson Page, M.D.
• Kayla Page
• Priscilla Page
• Roy Page, LCAS-A, CADC

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.