Individual provider Active NPI

Angela Jean Devinney, LPC

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1083930929
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16935 Issued in TX
Practice address
4801 Sanger Ave Apt 57
Waco, TX 76710-5859
Phone
(254) 722-0925
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16935 TX Primary

Addresses

Primary practice location

4801 Sanger Ave Apt 57
Waco, TX 76710-5859

Mailing address

4801 Sanger Ave Apt 57
Waco, TX 76710-5859
Phone (254) 722-0925

Other identifiers 1

IdentifierTypeStateIssuer
210105701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2024 through Jan 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16935TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Devinney Counseling, PLLC Current Accepting new patients

Locations

600 Round Rock West Dr
Ste 404
Round Rock, TX 78681
Phone (512) 733-9200

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1083930929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SANGER AVE APT 57",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105859",
            "telephone_number": "254-722-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SANGER AVE APT 57",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105859",
            "telephone_number": "254-722-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINNEY",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210105701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.