Active NPI
Angela Smith Shores, LPC, NCC, ACS
- Professional Counselor
- Morganton, NC
National Provider Identifier
1679714430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7269
- Practice address
- 4350 Acorn Trce
Morganton, NC 28655-4780 - Phone
- (919) 896-9092
- NPI assigned
- Mar 9, 2009
- Last updated
- Sep 16, 2010
- 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 | 7269 | NC | Primary |
Addresses
Primary practice location
4350 Acorn Trce
Morganton, NC 28655-4780
Mailing address
4350 Acorn Trce
Morganton, NC 28655-4780
Phone (919) 896-9092
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 |
|---|---|---|---|
| 7269 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1679714430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 ACORN TRCE",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554780",
"telephone_number": "919-896-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 ACORN TRCE",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554780",
"telephone_number": "919-896-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORES",
"first_name": "ANGELA",
"middle_name": "SMITH",
"name_prefix": "Mrs.",
"credential": "LPC, NCC, ACS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
- Sheridan Healthcare Services of North Carolina PA
- Nishita Nitesh Shetty, M.D
- Nishmita Nitesh Shetty, MD
- Tammy Virginia Shingleton, LPCA
- Shirley J Carswell (Country Pines Adult Care Home)
- Kelly Aurelia Short-Sherwin, LMFTA
- Dana Short, NP
- Jolynn Lynell Sibole, PT
- Caroline Sigmon, LCSW
- Amy Denise Sills Jones, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.