Active NPI
Angie Dosemagen, MED., LPC
- Mental Health Counselor
- Georgetown, SC
National Provider Identifier
1932160454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3751
- Practice address
- 635 S Hazard St
Georgetown, SC 29440-4728 - Phone
- (843) 240-1783
- Fax
- (843) 650-5606
- NPI assigned
- Apr 1, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3751 | SC | Primary |
Addresses
Primary practice location
635 S Hazard St
Georgetown, SC 29440-4728
Mailing address
635 S Hazard St
Georgetown, SC 29440-4728
Phone (843) 240-1783
Other names 1
- Ms. Angie Weglarz
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3751 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Bridges Therapeutic Associates LLC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Georgetown, SC
- NPI 1396706818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932160454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 S HAZARD ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294404728",
"telephone_number": "843-240-1783",
"fax_number": "843-650-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 S HAZARD ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294404728",
"telephone_number": "843-240-1783",
"fax_number": "843-650-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSEMAGEN",
"first_name": "ANGIE",
"name_prefix": "Ms.",
"credential": "MED., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "3751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGIE",
"last_name": "WEGLARZ",
"prefix": "MS.",
"credential": "MED LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Georgetown, SC
- Diana Dennison Enterprise LLC (Winyah Health Care Service)
- Brittany McCall Dieffenbach, PA
- Doctors Care SC, PA (Doctors Care Georgetown)
- Catherine Gasper Doegg, M.D.
- Robert Edwin Dorlon Jr., M.D.
- Dr.C's Eye Care,LLC
- Kristen Drenga
- DRS a Mason Ahearn & Wright G Skinner III (Bay Orthopedic Association LLC)
- Janie Stevenson Dukes, MS,RD,CDE
- Christopher Ryan Dunne, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.