Active NPI
Angiemil Perez Pena, M.S., NCC, LPCA
- Professional Counselor
- Burlington, NC
National Provider Identifier
1639615818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 232 W 5TH St
Burlington, NC 27215-3828 - Phone
- (336) 899-8800
- NPI assigned
- Jan 12, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NC | Primary |
Addresses
Primary practice location
232 W 5TH St
Burlington, NC 27215-3828
Mailing address
232 W 5TH St
Burlington, NC 27215-3828
Phone (336) 899-8800
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions, PLLC | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1285921064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1639615818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 W 5TH ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272153828",
"telephone_number": "336-899-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W 5TH ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272153828",
"telephone_number": "336-899-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ PENA",
"first_name": "ANGIEMIL",
"credential": "M.S., NCC, LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.