Individual provider Active NPI

Angela Moore Quigley, LCMHC

  • Mental Health Counselor
  • Granite Falls, NC
National Provider Identifier
1912549155
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14889 Issued in NC
Practice address
3970 Henry Kaylor LN Ste a
Granite Falls, NC 28630-7551
Phone
(828) 310-0742
NPI assigned
Oct 9, 2019
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A14889 NC
Mental Health Counselor 101YM0800X A14889 NC Primary

Addresses

Primary practice location

3970 Henry Kaylor LN Ste a
Granite Falls, NC 28630-7551

Mailing address

168 Whitson Hill LN
Taylorsville, NC 28681-6858
Phone (828) 310-0742

Other identifiers 1

IdentifierTypeStateIssuer
1912549155MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aquigley@liberty.edu

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208001550 NC Practitioner - Mental Health Counselor 0547603300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rha Health Services IncGroup PAC ID 8426196072, 55 clinicians

Practice addresses (Care Compare)

395 3Rd Ave SW
Taylorsville, NC 28681-4180
Phone (828) 848-2515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A14889NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services, Inc CurrentSince Jan 2, 2024 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services, Inc. CurrentSince Jan 2, 2024 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

395 3rd Ave SW
Taylorsville, NC 28681
Phone (828) 848-2515

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1912549155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 WHITSON HILL LN",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816858",
            "telephone_number": "828-310-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 HENRY KAYLOR LN STE A",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286307551",
            "telephone_number": "828-310-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "ANGELA",
        "middle_name": "MOORE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14889",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912549155",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aquigley@liberty.edu",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "address_1": "3970 Henry Kaylor Ln Ste A",
            "city": "Granite Falls",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286307551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granite Falls, NC

Sources for this page

Verify at the official NPI Registry.