Individual provider Active NPI

Angelia Jones, MA, LCMHCS, LCAS

  • Professional Counselor
  • Jacksonville, NC
National Provider Identifier
1053725226
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10854 Issued in NC
Practice address
200 Valencia Dr Ste 123
Jacksonville, NC 28546-6311
Phone
(910) 358-6621
Fax
(910) 239-8126
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 LCAS-21517 NC
Professional Counselor 101YP2500X 10854 NC Primary

Addresses

Primary practice location

200 Valencia Dr Ste 123
Jacksonville, NC 28546-6311

Mailing address

204 Belvedere Dr
Holly Ridge, NC 28445-6954
Phone (443) 760-0924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212003007 NC Practitioner - Mental Health Counselor 4981047446 Practice locations: Jacksonville, NC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Valencia Dr
Suite 123
Jacksonville, NC 28546-6311
Phone (910) 358-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LCAS-21517NCMDAddiction (Substance Use Disorder) Counselor
10854NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ang Counseling and Consulting, PLLC CurrentSince Mar 1, 2018 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

200 Valencia Dr
Ste 123
Jacksonville, NC 28546
Phone (910) 340-5710

Interoperability endpoints

  • Direct secure messaging: angeliajones@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1053725226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BELVEDERE DR",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284456954",
            "telephone_number": "443-760-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR STE 123",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466311",
            "telephone_number": "910-358-6621",
            "fax_number": "910-239-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LCMHCS, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21517",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.