Active NPI
Angelica Martin Salazar, LCMHC
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1568086353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13839
- Practice address
- 3901 Barrett Dr Ste 100
Raleigh, NC 27609-6523 - Phone
- (919) 900-7552
- Fax
- (919) 977-0024
- NPI assigned
- Jun 8, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13839 | NC | Primary |
Addresses
Primary practice location
3901 Barrett Dr Ste 100
Raleigh, NC 27609-6523
Mailing address
3901 Barrett Dr Ste 100
Raleigh, NC 27609-6523
Phone (919) 900-7557
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | theranest.com | Direct |
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 |
|---|---|---|---|
| 13839 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeologie Counseling Raleigh, PLLC | Current | Accepting new patients |
Locations
3901 Barrett Dr
Ste 100
Raleigh, NC 27609
Phone (919) 782-6554
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 and National Provider Directory roles.
-
- Counselor
- Raleigh, NC
- NPI 1144750563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1568086353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 BARRETT DR STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096523",
"telephone_number": "919-900-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BARRETT DR STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096523",
"telephone_number": "919-900-7552",
"fax_number": "919-977-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "ANGELICA",
"middle_name": "MARTIN",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "13839",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "theranest.com",
"affiliation": "N",
"endpointDescription": "Practice Management Software For Therapists, Psychologists, Social Workers, And Counselors",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3901 Barrett Dr Ste 100",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276096523",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.