Active NPI
Angel Tansy Lee Myers
- Professional Counselor
- Havertown, PA
National Provider Identifier
1063010981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012713
- Practice address
- 2000 Old West Chester Pike
Havertown, PA 19083-2712 - Phone
- (484) 454-8700
- NPI assigned
- Oct 13, 2020
- Last updated
- Oct 13, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012713 | PA | Primary |
Addresses
Primary practice location
2000 Old West Chester Pike
Havertown, PA 19083-2712
Mailing address
318 S Sandy Hill Rd
Coatesville, PA 19320-5522
Phone (484) 881-2874
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC012713 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1063010981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 S SANDY HILL RD",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193205522",
"telephone_number": "484-881-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OLD WEST CHESTER PIKE",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190832712",
"telephone_number": "484-454-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "ANGEL",
"middle_name": "TANSY LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.