Individual provider Active NPI

Angela Luree Bode, LPC, MAC, CAADC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1043716509
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
010069 Issued in GA
Practice address
559 Amsterdam Ave NE FRNT Apt
Atlanta, GA 30306-3416
Phone
(770) 695-9822
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C0209 GA
Professional Counselor 101YP2500X 010069 GA Primary

Addresses

Primary practice location

559 Amsterdam Ave NE FRNT Apt
Atlanta, GA 30306-3416

Mailing address

559 Amsterdam Ave NE FRNT Apt
Atlanta, GA 30306-3416
Phone (770) 695-9822

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
C0209GAMDAddiction (Substance Use Disorder) Counselor
010069GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Approach Therapeutic Services LLC. Current 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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1043716509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 AMSTERDAM AVE NE FRNT APT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063416",
            "telephone_number": "770-695-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 AMSTERDAM AVE NE FRNT APT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063416",
            "telephone_number": "770-695-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODE",
        "first_name": "ANGELA",
        "middle_name": "LUREE",
        "credential": "LPC, MAC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0209",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "010069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.