Active NPI
Abigail Nicole Squires, LPCA
- Professional Counselor
- Shelby, NC
National Provider Identifier
1447721428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14526
- Practice address
- 331 S Washington St
Shelby, NC 28150-5450 - Phone
- (980) 484-2111
- Fax
- (704) 259-0480
- NPI assigned
- Dec 17, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14526 | NC | Primary |
Addresses
Primary practice location
331 S Washington St
Shelby, NC 28150-5450
Mailing address
331 S Washington St
Shelby, NC 28150-5450
Phone (980) 484-2111
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 |
|---|---|---|---|
| A14526 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1447721428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 S WASHINGTON ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505450",
"telephone_number": "980-484-2111",
"fax_number": "704-259-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S WASHINGTON ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505450",
"telephone_number": "980-484-2111",
"fax_number": "704-259-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "ABIGAIL",
"middle_name": "NICOLE",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.