Angelique Nicole Couch-Wilson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

111 Mackenan Dr
Cary, NC 27511-7903

Phone

(910) 574-5993

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Center for Autism Services, LLC

  • Behavior Analyst
  • Durham, NC
  • NPI 1912069303
  NPD (past)
• The Carolina Center for ABA & Autism Treatment

  • Community/Behavioral Health Agency
  • Cary, NC
  • NPI 1184027252
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1902434558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MACKENAN DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MACKENAN DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117903",
            "telephone_number": "910-574-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH-WILSON",
        "first_name": "ANGELIQUE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Araceli Cota
• Chellane Cote
• James William Cotton
• Steven Cotton Jr.
• Caitlyn Jensen Cottrill, RBT
• Kelly O'Brien Council, OTR
• Counsel for the Culture
• County of Wake
• Hannah Elizabeth Covey, OD
• Emily Ann Covington, DPT

• Behavior Technician in Cary, NC
• Providers in Cary, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.