Active NPI
Joan E Gantz, MA LMFT
- Marriage & Family Therapist
- Carrboro, NC
National Provider Identifier
1679642193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 908
- Practice address
- 1530 Pathway Drive
Carrboro, NC 27510-4100 - Phone
- (919) 345-7580
- NPI assigned
- Nov 7, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 908 | NC | Primary |
Addresses
Primary practice location
1530 Pathway Drive
Carrboro, NC 27510-4100
Mailing address
1530 Pathway Drive
Carrboro, NC 27510-4100
Phone (919) 345-7580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341441 | Other | NC | MHN |
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679642193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 PATHWAY DRIVE",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275104100",
"telephone_number": "919-345-7580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 PATHWAY DRIVE",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275104100",
"telephone_number": "919-345-7580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTZ",
"first_name": "JOAN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "MA LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "341441",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrboro, NC
- Ethan Robert Foy, PT, DPT
- Rachel Mallory Friel, OD
- Kellie Walter Furin, FNP
- Tessa Jean Gacovsky, MOT, OTR/L
- Morgan Danielle Gaines, NP
- Molly Reynolds Garlington, MSW, LCSW
- Mahagony Ann Shada Garrette, MS, LCAS-A
- Laurie M Gauger, PHD
- Aimee Gaunt, LMBT, L.AC
- Generations Family Practice, PA (Carrboro Family Medicine Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.