Active NPI
Virginia D'Angelo, LMFT
- Marriage & Family Therapist
- Apple Valley, MN
National Provider Identifier
1063582773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0768
- Practice address
- 7493 147TH St W Ste 107
Apple Valley, MN 55124-7570 - Phone
- (952) 432-0043
- Fax
- (952) 432-0809
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 0768 | MN | Primary |
Addresses
Primary practice location
7493 147TH St W Ste 107
Apple Valley, MN 55124-7570
Mailing address
7493 147TH St W
Suite 107
Apple Valley, MN 55124-4505
Phone (952) 432-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307082400 | Medicaid | MN |
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 |
|---|---|---|---|
| 0768 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615680000000",
"number": "1063582773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7493 147TH ST W",
"address_2": "SUITE 107",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551244505",
"telephone_number": "952-432-0043",
"fax_number": "952-432-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7493 147TH ST W STE 107",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247570",
"telephone_number": "952-432-0043",
"fax_number": "952-432-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANGELO",
"first_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2021-03-14",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "0768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307082400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.