Individual provider Active NPI

Sally Martin Gadd, LPC

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1679699896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5194 Issued in NC
Practice address
853 Wake Forest Business Park
Suite F
Wake Forest, NC 27587-6522
Phone
(919) 413-2462
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5194 NC Primary

Addresses

Primary practice location

853 Wake Forest Business Park
Suite F
Wake Forest, NC 27587-6522

Mailing address

8108 Hawkshead Rd
Wake Forest, NC 27587-6679
Phone (919) 556-4995

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
5194NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679699896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 HAWKSHEAD RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876679",
            "telephone_number": "919-556-4995",
            "fax_number": "919-556-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE F",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876522",
            "telephone_number": "919-413-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADD",
        "first_name": "SALLY",
        "middle_name": "MARTIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

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.

Verify at the official NPI Registry.