Angela Byers
Individual provider Active NPI Mental Health Counselor · Delafield, WI
NPI 1003245283 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1003245283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 5588-125 (WI)
- Practice address
- 2301 Sun Valley Dr Ste 102
Delafield, WI 53018-2318 - Phone
- (262) 269-3250
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5588-125 | WI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5588-125 | WI | Yes |
| Professional Counselor | 101YP2500X | 5588-125 | WI |
Addresses
Primary practice location
2301 Sun Valley Dr Ste 102
Delafield, WI 53018-2318
Mailing address
39523 Cedar LN
Oconomowoc, WI 53066-9413
Phone (262) 370-4458
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All providers in Delafield, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.