Active NPI
Angelika Marks Liles, MA, LPC
- Professional Counselor
- Rockingham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7796
- Practice address
- 116 S Lawrence St
Rockingham, NC 28379-3657 - Phone
- (910) 895-2462
- Fax
- (910) 895-9896
- NPI assigned
- Jul 29, 2010
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20390-A | NC | |
| Professional Counselor | 101YP2500X | 7796 | NC | Primary |
Addresses
Primary practice location
116 S Lawrence St
Rockingham, NC 28379-3657
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902110125 | Other | NC | HUMANA |
| 1902110125 | Medicaid | NC | |
| 19CFB | Other | NC | BCBS |
| 601039-499 | Other | NC | MAGELLAN |
| 1902110125 | Other | NC | UBH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
523 N US Hwy 1
Rockingham, NC 28379-7771
Phone (910) 895-2462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20390-A | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 7796 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Professional | Current | Accepting new patients |
Locations
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1104A S Main St
Lexington, NC 27292
Phone (336) 252-2450
523 N US Highway 1
Ste A
Rockingham, NC 28379
Phone (910) 719-4335
523 N US Highway 1
Rockingham, NC 28379
Phone (910) 719-4320
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
Interoperability endpoints
- angelika.liles.p1@direct.daymarkrecovery.nextgenshare.com
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.
-
- Multi-Specialty Clinic/Center
- Concord, NC
- NPI 1558329243
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902110125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S LAWRENCE ST",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283793657",
"telephone_number": "910-895-2462",
"fax_number": "910-895-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILES",
"first_name": "ANGELIKA",
"middle_name": "MARKS",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "20390-A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1902110125",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902110125",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19CFB",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "601039-499",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "1902110125",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockingham, NC
- Let's Talk Educational Center Corp
- Let's Talk Therapy Services
- Lets Talk Now Corp
- Betty Dennis Leviner, R.N.
- Liberty Nursing Services II, LLC (Liberty Nursing Services)
- Cornelia Elizabeth Liles, LCAS-A
- Taylor Lingren, CADC-A
- Alexia Little
- Cynthia Wall Little, LCMHCA
- LNN Counseling and Consulting PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.