Individual provider Active NPI

Annette Teresa Meadows, LPC

  • Professional Counselor
  • Salisbury, NC
National Provider Identifier
1851624290
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14420 Issued in NC
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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 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

IdentifierTypeStateIssuer
14420OtherNCLICENSE NUMBER LPC

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
14420NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Childrens Service of Fort Wayne Inc PastSince Jan 7, 2015 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.

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

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.

Verify at the official NPI Registry.