Active NPI
Maria Pena
- Addiction (Substance Use Disorder) Counselor
- Clayton, NC
National Provider Identifier
1902251408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22460
- Practice address
- 2024 Cypress CT
Clayton, NC 27520-8616 - Phone
- (919) 527-4708
- NPI assigned
- May 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22460 | NC | Primary |
Addresses
Primary practice location
2024 Cypress CT
Clayton, NC 27520-8616
Mailing address
2024 Cypress CT
Clayton, NC 27520-8616
Phone (919) 527-4708
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 |
|---|---|---|---|
| 22460 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1902251408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 CYPRESS CT",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208616",
"telephone_number": "919-527-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 CYPRESS CT",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208616",
"telephone_number": "919-527-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "22460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
- Patricia a Barfield (Cornerstone Residential Services)
- Patricia Bock (Freedom Behavioral Health Services)
- Christopher Austin Porter Patrick, DO
- Sharon Payne, OTRL
- Pediatric Possibilities
- Marissa Pender, RDN, LDN
- Peniel House, LLC
- Lave Wilson Pennywell
- People Living in All Communities
- Joan Yolanda Perez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.