Active NPI
Annette Teresa Meadows, LPC
- Professional Counselor
- Salisbury, NC
National Provider Identifier
1851624290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14420
- Practice address
- 2129 Statesville Blvd
Salisbury, NC 28147-1411 - Phone
- (704) 633-3616
- Fax
- (704) 633-5902
- NPI assigned
- Sep 17, 2009
- Last updated
- May 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | 14420 | NC | Primary |
Addresses
Primary practice location
2129 Statesville Blvd
Salisbury, NC 28147-1411
Mailing address
2712 S Calhoun St
Fort Wayne, IN 46807-1402
Phone (260) 744-4326
Other practice location 1
2712 S Calhoun St
Fort Wayne, IN 46807-1402
Phone (260) 744-4326
Other practice location 2
1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14420 | Other | NC | LICENSE NUMBER LPC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ameadows@daymarkrecovery.org |
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 |
|---|---|---|---|
| 14420 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Childrens Service of Fort Wayne Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Fort Wayne, IN
- NPI 1699820720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1851624290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 S CALHOUN ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468071402",
"telephone_number": "260-744-4326",
"fax_number": "260-744-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 STATESVILLE BLVD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471411",
"telephone_number": "704-633-3616",
"fax_number": "704-633-5902"
}
],
"practiceLocations": [
{
"address_1": "2712 S Calhoun St",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468071402",
"country_code": "US",
"telephone_number": "260-744-4326",
"fax_number": "260-744-0188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Mercer Ave",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IN",
"postal_code": "467332303",
"country_code": "US",
"telephone_number": "260-724-2145",
"fax_number": "260-728-3852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADOWS",
"first_name": "ANNETTE",
"middle_name": "TERESA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-17",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "14420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER LPC",
"identifier": "14420",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ameadows@daymarkrecovery.org",
"affiliation": "N",
"endpointDescription": "organizational encrypted email",
"address_1": "2129 Statesville Blvd",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281471411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salisbury, NC
- Miranda McNeill
- Robert E McNeill, M.D.
- Maureen Ann McVeigh
- Kellyn McVey
- Meadowbrook SNF Operations LLC (Meadowbrook Health & Rehabilitation)
- Telly Ali Meadows, M.D.
- Angela Renee Means, CPSS, CADCR
- Mecklenburg Home Health, Inc. (Home Health Professionals Rowan)
- Med-Trans Corporation
- Med-Trans Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.