Active NPI
Mary Caldwell-Pineda, LMFT NC #1826
- Marriage & Family Therapist
- Cary, NC
National Provider Identifier
1366020174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1826
- Practice address
- 130 Executive Drive
Ste. 202
Cary, NC 27513-2751 - Phone
- (920) 901-8416
- NPI assigned
- Apr 1, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1826 | NC | Primary |
Addresses
Primary practice location
130 Executive Drive
Ste. 202
Cary, NC 27513-2751
Mailing address
114 Adams St
Cary, NC 27513-4526
Phone (920) 901-8416
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cary | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 11, 2024 through Apr 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1826 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1366020174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 ADAMS ST",
"city": "CARY",
"state": "NC",
"postal_code": "275134526",
"telephone_number": "920-901-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 EXECUTIVE DRIVE",
"address_2": "STE. 202",
"city": "CARY",
"state": "NC",
"postal_code": "275132751",
"telephone_number": "920-901-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL-PINEDA",
"first_name": "MARY",
"credential": "LMFT NC #1826",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1826",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cary",
"affiliation": "N",
"endpointDescription": "130 Executive Dr",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Cary",
"address_1": "130 Executive Drive",
"address_2": "Ste. 202",
"city": "Cary",
"state": "NC",
"country_code": "US",
"postal_code": "27513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.