Anthony Jesus Pitaluga, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6404 Issued in FL

Practice address

403 South Hawthorne Road
Winston-Salem, NC 27157-1097

Phone

(336) 716-0800

Fax

(336) 716-0822

NPI assigned

Jul 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1902068869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SOUTH HAWTHORNE ROAD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271571097",
            "telephone_number": "336-716-0800",
            "fax_number": "336-716-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SOUTH HAWTHORNE ROAD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271571097",
            "telephone_number": "336-716-0800",
            "fax_number": "336-716-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITALUGA",
        "first_name": "ANTHONY",
        "middle_name": "JESUS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6404",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Pippitt, MD
• Pirene Group Partnership
• Barbara A Pisani, MD
• Judith Ann Pisarro-Grant, LMFT
• Taylor Brooke Pisel, MA, MDIV
• Karen Pitchford, AGNP-C
• Simon Michael Pitman, DO
• Pittman Consulting & Profession Services, PLLC
• Timothy Mark Pittman, LPC
• Lillie Elizabeth Pitts, MD

• Mental Health Counselor in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.