Individual provider Active NPI

Angela Christina Orta, LMSW

  • Social Worker
  • Okemos, MI
National Provider Identifier
1033424890
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801089553 Issued in MI
Practice address
4121 Okemos Rd
Ste 15
Okemos, MI 48864-3220
Phone
(517) 303-5267
NPI assigned
Aug 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801089553 MI Primary

Addresses

Primary practice location

4121 Okemos Rd
Ste 15
Okemos, MI 48864-3220

Mailing address

4121 Okemos Rd
Ste 15
Okemos, MI 48864-3220
Phone (517) 303-5267

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089553MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Illuminated Mind, PLLC PastSince Mar 27, 2022 Accepting new patients

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1033424890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 OKEMOS RD",
            "address_2": "STE 15",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643220",
            "telephone_number": "517-303-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 OKEMOS RD",
            "address_2": "STE 15",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643220",
            "telephone_number": "517-303-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTA",
        "first_name": "ANGELA",
        "middle_name": "CHRISTINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.