Individual provider Active NPI

Angela Lynn Fivek, MS

  • Professional Counselor
  • Goldsboro, NC
National Provider Identifier
1679820922
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8890 Issued in NC
Practice address
502-F Boxwood Lane
Apt. F
Goldsboro, NC 27534-4217
Phone
(919) 648-7320
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A8890 NC
Professional Counselor 101YP2500X 8890 NC Primary

Addresses

Primary practice location

502-F Boxwood Lane
Apt. F
Goldsboro, NC 27534-4217

Mailing address

502-F Boxwood Lane
Apt. F
Goldsboro, NC 27534-4217
Phone (919) 648-7320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

169 Maple Tree LN
Clayton, NC 27527-5152

4009 Barrett Dr
Suite 100
Raleigh, NC 27609-6616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A8890NCMDProfessional Counselor
8890NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1679820922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502-F BOXWOOD LANE",
            "address_2": "APT. F",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344217",
            "telephone_number": "919-648-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502-F BOXWOOD LANE",
            "address_2": "APT. F",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344217",
            "telephone_number": "919-648-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIVEK",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A8890",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.