Dwyla J Angelos, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

603 Issued in MA

Practice address

1613 Blue Hill Ave.
Priority Professional Care Suite 302
Mattapan, MA 02126

Phone

(857) 598-4774

Fax

(857) 598-4816

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Priority Professional Care, LLC

  • Clinic/Center
  • Dorchester, MA
  • NPI 1346486529
  NPD (past)
• Priority Professional Care,LLC

  • Foster Care Agency
  • Mattapan, MA
  • NPI 1477970218
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1023171998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 BLUE HILL AVE.",
            "address_2": "PRIORITY PROFESSIONAL CARE SUITE 302",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "02126",
            "telephone_number": "857-598-4774",
            "fax_number": "857-598-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 BLUE HILL AVE.",
            "address_2": "PRIORITY PROFESSIONAL CARE SUITE 302",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "02126",
            "telephone_number": "857-598-4774",
            "fax_number": "857-598-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELOS",
        "first_name": "DWYLA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "603",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "LMHC 603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Stephen Akerman, PHARM.D
• Algo Health LTD
• Alovias Health Services Inc
• Alphaone Healthcare Services Inc
• Jasmine Marie Anam
• Marie Berthonia Antoine, LMHC
• Archer Angels Family Services LLC
• Dimitrios Sotirios Bakolas
• Rawan Barakat, PHARMD
• Emily D Barnes

• Mental Health Counselor in Mattapan, MA
• Providers in Mattapan, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.