ANTHONY JESUS PITALUGA (NPI# 1902068869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902068869 |
| Entity Type | Individual |
| Full Name | ANTHONY JESUS PITALUGA |
| Credential | LMHC |
| Practice Address |
403 South Hawthorne Road Winston-salem NC 27157-1097 |
| Practice Telephone | 3367160800 |
| Practice Fax Number | 3367160822 |
| Mailing Telephone | 3367160800 |
| Mailing Fax Number | 3367160822 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2011-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH6404 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6983 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003140700 | 05 |
| Street Address |
403 SOUTH HAWTHORNE ROAD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27157-1097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831292630 | Adrienne Reich | Counselor | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2006-09-07 |
| 1366645079 | Cecilia M Marshall | Psychologist | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2007-06-08 |
| 1366578353 | Susan Lynn Brooks | Counselor | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2007-02-26 |
| 1396870218 | Sam Templeman Gladding | Counselor | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912309907 | Winford Brown Ramseur & Associates | Counselor | 4680 Brownsboro Road Ste D, Winston-salem, NC 27106 | 2014-09-22 |
| 1548660251 | Meghan Berger | Counselor | 4630 Brownsboro, A2, Winston-salem, NC 27106 | 2014-08-29 |
| 1003142076 | Alanna Alexander Zambrano | Counselor | 601 N. Cherry St., Suite 300, Winston-salem, NC 27101-2933 | 2009-10-27 |
| 1487814075 | Daniel Patrick Bayait | Counselor | 206 N. Spruce St., Suite 3, Winston-salem, NC 27101-2747 | 2008-06-17 |
| 1770788366 | Cynthia Davis Stewart | Counselor | Nc Baptist Hospital Care Coordination Department, Medical Center Boulevard, Winston-salem, NC 27157 | 2007-06-15 |
| 1295954899 | Youth Opportunities Incorporated | Counselor | 1401 Clemmonsville Road, Winston-salem, NC 27127-5915 | 2007-04-24 |
| 1285790014 | Youth Opportunities | Counselor | 2020 E. 12th St., Winston-salem, NC 27101-1805 | 2006-12-28 |
| 1629154695 | Ruth Louise Rosenbaum | Counselor | 1316 Ashley Sq., Center of Well-being, Winston-salem, NC 27013 | 2006-10-31 |
| 1194809707 | Timothy Mark Pittman | Counselor | 8011 North Point Blvd Ste 104, Winston-salem, NC 27106 | 2006-10-24 |
| 1891093993 | Pittman Consulting & Profession Services, Pllc | Counselor | 8011 North Point Blvd Ste 104, Winston-salem, NC 27106 | 2011-03-14 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on ANTHONY JESUS PITALUGA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.