Individual provider Active NPI

Vivian Magarino-Gomez, MA,LCMHCA, ATRP,NBCT

  • Mental Health Counselor
  • Apex, NC
National Provider Identifier
1699488163
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18373 Issued in NC
Practice address
101 E Chatham St Ste H
Apex, NC 27502-1474
Phone
(919) 889-6928
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A18373 NC Primary
Art Therapist 221700000X 21-128 NC

Addresses

Primary practice location

101 E Chatham St Ste H
Apex, NC 27502-1474

Mailing address

101 E Chatham St Ste H.
Apex, NC 27502-1474
Phone (919) 889-6928

Other practice location 1

200 N Greensboro St
Carrboro, NC 27510-1838
Phone (919) 889-6928

Other identifiers 1

IdentifierTypeStateIssuer
01126175OtherNATIONAL BOARD OF CERTIFIED TEACHER STANDARDS

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A18373NCMDMental Health Counselor
21-128NCMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1699488163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E CHATHAM ST STE H.",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021474",
            "telephone_number": "919-889-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CHATHAM ST STE H",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021474",
            "telephone_number": "919-889-6928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Greensboro St",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275101838",
            "country_code": "US",
            "telephone_number": "919-889-6928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGARINO-GOMEZ",
        "first_name": "VIVIAN",
        "credential": "MA,LCMHCA, ATRP,NBCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18373",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NC",
            "license": "21-128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFIED TEACHER STANDARDS",
            "identifier": "01126175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.