Active NPI
Deanna Michelle Norungolo, MRC, CRC, LPCI
- Counselor
- Easley, SC
National Provider Identifier
1366993909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5784
- Practice address
- 112 John St Ste 102
Easley, SC 29640-1405 - Phone
- (864) 442-7585
- Fax
- (864) 859-9648
- NPI assigned
- Oct 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5784 | SC | Primary |
Addresses
Primary practice location
112 John St Ste 102
Easley, SC 29640-1405
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
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 |
|---|---|---|---|
| 5784 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1366993909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 JOHN ST STE 102",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401405",
"telephone_number": "864-442-7585",
"fax_number": "864-859-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORUNGOLO",
"first_name": "DEANNA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MRC, CRC, LPCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "5784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.