Angel Simone Waldo, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701014500 Issued in VA

Practice address

9301 Forest Point Cir
Manassas, VA 20110-4700

Phone

(703) 257-5997

NPI assigned

Feb 7, 2025

Last updated

Feb 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• National Counseling Group, Inc

  • Mental Health Counselor
  • Manassas, VA
  • NPI 1871689893
  NPD (past)

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1023823127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 WISTERIA POND WAY APT 3",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093835",
            "telephone_number": "918-207-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104700",
            "telephone_number": "703-257-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDO",
        "first_name": "ANGEL",
        "middle_name": "SIMONE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassaundra Waite, RN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1825)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3573)
• Wal-Mart Stores East, LP (Vision Center 30-1825)
• Wal-Mart Stores East, LP (Vision Center 30-3573)
• Walgreen Co (Walgreens #13012)
• Walgreen Co (Walgreens # 11912)
• Walgreen Co (Walgreens #11234)
• Walgreen Co (Walgreens # 13156)
• Walgreen Co (Rite Aid #3721)

• Professional Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.