Community Angel Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10292 Issued in NC

Legal business name

COMMUNITY ANGEL FOUNDATION

Practice address

4011 Village Park Dr
Knightdale, NC 27545-7044

Phone

(919) 844-7755

Fax

(800) 480-5850

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christal Carmichael, LPCNPI 1811321342

Title

Founder

Phone

(919) 645-5700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christal Carmichael, LPCA

  • Mental Health Counselor
  • Knightdale, NC
  • NPI 1811321342
  Authorized official Same address or phone

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1790223931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 SIX FORKS RD",
            "address_2": "SUITE 1000",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095733",
            "telephone_number": "919-645-5700",
            "fax_number": "800-480-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 VILLAGE PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "919-844-7755",
            "fax_number": "800-480-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ANGEL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "919-645-5700",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "10292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Robert Colbert, PHARMD
• Judith Yen Lin Colclough, MD
• Combi9Ed Efforts
• Laura A Combs, MS, RD, LD
• Communication 360 LLC
• Community Outreach Intense Family Services, LLC
• Glenda Kam Congleton, MA
• Mary Gaffney Conley, M. D.
• Connected Care Health Solutions
• Carolyn Elizabeth Connor, NP-C

• Community/Behavioral Health Agency in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.