Active NPI
Alicia Angulo Heninger, M.A., IMF
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1033259346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF65547
- Practice address
- 2351 Cardinal LN # B
San Diego, CA 92123-3743 - Phone
- (858) 573-2227
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF65547 | CA | Primary |
Addresses
Primary practice location
2351 Cardinal LN # B
San Diego, CA 92123-3743
Mailing address
2351 Cardinal LN # B
San Diego, CA 92123-3743
Phone (858) 573-2227
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF65547 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1033259346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 CARDINAL LN # B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233743",
"telephone_number": "858-573-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 CARDINAL LN # B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233743",
"telephone_number": "858-573-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGULO HENINGER",
"first_name": "ALICIA",
"credential": "M.A., IMF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF65547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.