Individual provider Active NPI

Angela Marie McCabe

  • Addiction (Substance Use Disorder) Counselor
  • Wytheville, VA
National Provider Identifier
1861156788
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
270 N 22ND St
Wytheville, VA 24382-2134
Phone
(276) 236-6341
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

270 N 22ND St
Wytheville, VA 24382-2134

Mailing address

270 N 22ND St
Wytheville, VA 24382-2134
Phone (276) 236-6341

Other identifiers 1

IdentifierTypeStateIssuer
101YA0400XMedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL angela.mccabe@ctcprograms.com Direct
CONNECT URL angela.mccabe@ctcprograms.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1861156788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N 22ND ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822134",
            "telephone_number": "276-236-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N 22ND ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822134",
            "telephone_number": "276-236-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YA0400X",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "angela.mccabe@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "angela.mccabe@ctcprograms.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 Lakespur Lane",
            "city": "Galax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "angela.mccabe@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "angela.mccabe@ctcprograms.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 Lakespur Lane",
            "city": "Galax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.