Active NPI
Angela Rochelle Wheeler, LPC, CPCS
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1881025591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006372
- Practice address
- 4924 Wyatt Brook Way
Raleigh, NC 27609-5091 - Phone
- (919) 949-6612
- NPI assigned
- Dec 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC006372 | GA | |
| Mental Health Counselor | 101YM0800X | LPC006372 | GA | |
| Professional Counselor | 101YP2500X | LPC006372 | GA | Primary |
Addresses
Primary practice location
4924 Wyatt Brook Way
Raleigh, NC 27609-5091
Mailing address
4924 Wyatt Brook Way
Raleigh, NC 27609-5091
Phone (919) 949-6612
Other practice location 1
61 Corsair Cir
Port Wentworth, GA 31407-8529
Phone (912) 655-9846
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 |
|---|---|---|---|
| LPC006372 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1881025591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4924 WYATT BROOK WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095091",
"telephone_number": "919-949-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4924 WYATT BROOK WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095091",
"telephone_number": "919-949-6612"
}
],
"practiceLocations": [
{
"address_1": "61 Corsair Cir",
"address_purpose": "LOCATION",
"city": "Port Wentworth",
"state": "GA",
"postal_code": "314078529",
"country_code": "US",
"telephone_number": "912-655-9846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "ANGELA",
"middle_name": "ROCHELLE",
"credential": "LPC, CPCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "LPC006372",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC006372",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.