ANGIE M CHURCH LCMHC
NPI 1083989495
Counselor - Professional in North Wilkesboro, NC

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
204 JEFFERSON ST STE 106, NORTH WILKESBORO, NC 28659(336) 838-1644(336) 667-7720 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angie M Church Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGIE M CHURCH LCMHC (NPI 1083989495) is an individual professional provider in North Wilkesboro, North Carolina, licensed in North Carolina (9140) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1083989495
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGIE M CHURCHCredential: LCMHC
Location Address204 JEFFERSON ST STE 106North Wilkesboro, NC 28659-3586
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-9034
Fax(336) 667-7720
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 19, 2012
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1083989495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 9140
204 JEFFERSON ST STE 106, North Wilkesboro, NC 28659

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angie M Church Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698112894
PECOS Enrollment IDI20240324000153
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
204 JEFFERSON ST STE 106
N WILKESBORO, NC 28659
Counselor (Professional)
204 JEFFERSON ST STE 106
NORTH WILKESBORO, NC 28659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angie Church's NPI number?

The NPI number for Angie Church is 1083989495. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Angie Church located?

Angie Church practices at 204 Jefferson St Ste 106, North Wilkesboro, NC 28659. The listed phone number is (336) 838-1644.

What is Angie Church's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Angie Church enrolled in Medicare?

Yes. Angie Church is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Angie Church accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Angie Church as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angie Church was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.