Individual provider Active NPI

Angela Shaba

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1013268648
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-13645 Issued in AZ
Practice address
8590 E Shea Blvd Ste 130
Scottsdale, AZ 85260-6682
Phone
(602) 540-0441
NPI assigned
Sep 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003325 NY
Professional Counselor 101YP2500X 37PC00427800 NJ
Professional Counselor 101YP2500X LPC-13645 AZ Primary

Addresses

Primary practice location

8590 E Shea Blvd Ste 130
Scottsdale, AZ 85260-6682

Mailing address

8590 E Shea Blvd Ste 130
Scottsdale, AZ 85260-6682
Phone (602) 540-0441

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

State licenses

LicenseStateTypeSpecialty
LPC-13645AZMDProfessional Counselor
37PC00427800NJMDProfessional Counselor
003325NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Psychology and Wellness, PLLC Mental Health CurrentSince Nov 1, 2020 Accepting new patients

Locations

8590 E Shea Blvd
Ste 130
Scottsdale, AZ 85260
Phone (602) 540-0441

10245 E Via Linda
Ste 218A
Scottsdale, AZ 85258
Phone (480) 442-5567

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": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1013268648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 E SHEA BLVD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606682",
            "telephone_number": "602-540-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 E SHEA BLVD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606682",
            "telephone_number": "602-540-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABA",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-22",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003325",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00427800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.