Individual provider Active NPI

Angie Dosemagen, MED., LPC

  • Mental Health Counselor
  • Georgetown, SC
National Provider Identifier
1932160454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3751 Issued in SC
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
3751SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.