Active NPI
Paige Pressly Fuqua, LPC
- Professional Counselor
- Greenville, NC
National Provider Identifier
1740515683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3821
- Practice address
- 501 Paladin Dr
Greenville, NC 27834-7826 - Phone
- (252) 353-5346
- Fax
- (252) 321-7300
- NPI assigned
- Oct 9, 2009
- 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 | 3821 | NC | Primary |
Addresses
Primary practice location
501 Paladin Dr
Greenville, NC 27834-7826
Mailing address
4300 Sapphire CT Ste 110
Greenville, NC 27834-9079
Phone (252) 830-7540
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3821 | NC | MD | Counseling Psychologist |
| 14873 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1740515683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SAPPHIRE CT STE 110",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278349079",
"telephone_number": "252-830-7540",
"fax_number": "252-413-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 PALADIN DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347826",
"telephone_number": "252-353-5346",
"fax_number": "252-321-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUQUA",
"first_name": "PAIGE",
"middle_name": "PRESSLY",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.