Individual provider Active NPI

Angela Bean Chop, PSYD

  • Counselor
  • Charlotte, NC
National Provider Identifier
1679727226
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6201 Fairview Road
Suite 200- #8539
Charlotte, NC 28210
Phone
(980) 288-5219
NPI assigned
Nov 10, 2008
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

6201 Fairview Road
Suite 200- #8539
Charlotte, NC 28210

Mailing address

6201 Fairview Road
Suite 200- #8539
Charlotte, NC 28210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180216000003 NC Practitioner - Clinical Psychologist 4587924337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3149 Planters Ridge Rd
Charlotte, NC 28270-1618
Phone (980) 288-5219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5270NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Chop Psychological Services CurrentSince Mar 1, 2022 Accepting new patients
Cotswold Clinician Support Services Counselor CurrentSince Dec 16, 2017 Accepting new patients

Locations

447 S Sharon Amity Rd
Ste 250
Charlotte, NC 28211
Phone (704) 264-2973

6201 Fairview Rd
Ste 200
Charlotte, NC 28210
Phone (704) 372-0670

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1679727226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 FAIRVIEW ROAD",
            "address_2": "SUITE 200- #8539",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 FAIRVIEW ROAD",
            "address_2": "SUITE 200- #8539",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "980-288-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOP",
        "first_name": "ANGELA",
        "middle_name": "BEAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.