Individual provider Active NPI

Elizabeth Eleanor Pugliese, NCC, LCMHC-A, LCAS

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1396400727
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17000 Issued in NC
Practice address
110 Iowa LN Ste 204
Cary, NC 27511-2400
Phone
(919) 587-8018
NPI assigned
Nov 1, 2021
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 LCAS-27408 NC
Mental Health Counselor 101YM0800X 17000 NC Primary

Addresses

Primary practice location

110 Iowa LN Ste 204
Cary, NC 27511-2400

Mailing address

110 Iowa LN Ste 204
Cary, NC 27511-2400
Phone (919) 587-8018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.pugliese@mathewscounseling.net

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

LicenseStateTypeSpecialty
LCAS-27408NCMDAddiction (Substance Use Disorder) Counselor
17000NCMDLow Vision Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1396400727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IOWA LN STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112400",
            "telephone_number": "919-587-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IOWA LN STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112400",
            "telephone_number": "919-587-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "ELIZABETH",
        "middle_name": "ELEANOR",
        "credential": "NCC, LCMHC-A, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27408",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.pugliese@mathewscounseling.net",
            "affiliation": "N",
            "address_1": "110 Iowa Ln Ste 204",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275112400",
            "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 Mar 28, 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.

Verify at the official NPI Registry.