Active NPI
Dante Poole, LPC
- Mental Health Counselor
- West End, NC
National Provider Identifier
1760502579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5439
- Practice address
- 241 Grant St
West End, NC 27376 - Phone
- (910) 673-3535
- Fax
- (910) 673-6565
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5439 | NC | Primary |
Addresses
Primary practice location
241 Grant St
West End, NC 27376
Mailing address
657 West Rd
Cameron, NC 28326
Phone (919) 498-6524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103318 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5439 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760502579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 WEST RD",
"city": "CAMERON",
"state": "NC",
"postal_code": "28326",
"telephone_number": "919-498-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 GRANT ST",
"city": "WEST END",
"state": "NC",
"postal_code": "27376",
"telephone_number": "910-673-3535",
"fax_number": "910-673-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "DANTE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "5439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103318",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West End, NC
- Alison Peters
- Pinehurst Orthopedic Group, PA
- Pinehurst Rheumatology PA
- Pinnacle Family Services of North Carolina LLC
- Tilak Pokharel, MD
- Jacquelyn Elizabeth Potynsky, PA-C, ATC
- Psychological Services of the Sandhills, PLLC
- Quality Care Pharmacy of the Sandhills (Quality Care Pharmacy)
- Deepa Ramaswamy, DO
- Anna Long Ray
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.