Individual provider Active NPI

Anna L. George-Trietley, LPC

  • Professional Counselor
  • Shelby, NC
National Provider Identifier
1689964827
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8242 Issued in NC
Practice address
331 S Washington St
Shelby, NC 28150-5450
Phone
(980) 484-2111
NPI assigned
Apr 8, 2011
Last updated
Apr 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A8242 NC
Professional Counselor 101YP2500X 8242 NC Primary

Addresses

Primary practice location

331 S Washington St
Shelby, NC 28150-5450

Mailing address

2157 McClintock Rd
Charlotte, NC 28205-5141

Other practice location 1

1867 Remount Rd Ste H
Gastonia, NC 28054-7401
Phone (704) 865-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241218001923 CO Practitioner - Mental Health Counselor 1557898392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A8242NCMDCounselor
8242NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consulting LLC Professional CurrentSince Dec 9, 2024 Accepting new patients
Momentum Counseling and Consulting LLC CurrentSince Dec 9, 2024 Accepting new patients
Caromont Medical Group Inc Past Accepting new patients
Caromont Medical Group Inc Past Accepting new patients

Locations

2120 Milestone Dr
Ste 103
Fort Collins, CO 80525
Phone (720) 340-2254

Organizations & group practices 4

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1689964827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 MCCLINTOCK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S WASHINGTON ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505450",
            "telephone_number": "980-484-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1867 Remount Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547401",
            "country_code": "US",
            "telephone_number": "704-865-3848",
            "fax_number": "704-854-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE-TRIETLEY",
        "first_name": "ANNA",
        "middle_name": "L.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A8242",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.