Individual provider Active NPI

Angela M Haviland

  • Addiction (Substance Use Disorder) Counselor
  • Black Mountain, NC
National Provider Identifier
1942580857
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1399 Issued in NC
Practice address
932 Old US 70 W
Black Mountain, NC 28711-2547
Phone
(828) 669-4161
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1399 NC Primary

Addresses

Primary practice location

932 Old US 70 W
Black Mountain, NC 28711-2547

Mailing address

665 W 4TH St
Winston Salem, NC 27101-2701
Phone (336) 725-8389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140915001584 NC Practitioner - Clinical Social Worker 9335368885 Reassigns benefits to 1 organization
I20171121003232 TN Practitioner - Clinical Social Worker 9335368885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aether Psychiatric Consultants PCGroup PAC ID 4688100597, 7 clinicians
Ridgeview Psychiatric Hospital and Center, Inc.Group PAC ID 4981691490, 18 clinicians

Practice addresses (Care Compare)

1 Hansel Ave
Suite 2
Asheville, NC 28806-3713
Phone (828) 424-5512

240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Phone (865) 482-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6663TNMDProfessional Counselor
1399NCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Psychiatric Hospital and Center, Inc. CurrentSince Sep 18, 2017 Accepting new patients
Aether Interventional Psychiatry, PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

25 Orange St
Ste 13
Asheville, NC 28801
Phone (828) 424-5512

1 Hansel Ave
Ste 2
Asheville, NC 28806
Phone (512) 673-0331

110 N Tennessee Ave
La Follette, TN 37766
Phone (423) 562-7426

240 W Tyrone Rd
Oak Ridge, TN 37830
Phone (865) 482-1076

Organizations & group practices 2

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1942580857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W 4TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012701",
            "telephone_number": "336-725-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 OLD US 70 W",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112547",
            "telephone_number": "828-669-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVILAND",
        "first_name": "ANGELA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.