Individual provider Active NPI

Angla A Smith

  • Marriage & Family Therapist
  • Mountlake Terrace, WA
National Provider Identifier
1093900151
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
6505 216TH St SW Ste 100
Mountlake Terrace, WA 98043-2089
Phone
(760) 680-8455
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X CA
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 136276 CA
Marriage & Family Therapist 106H00000X MG616622104 WA
Marriage & Family Therapist 106H00000X MG61662104 WA
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

6505 216TH St SW Ste 100
Mountlake Terrace, WA 98043-2089

Mailing address

100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (760) 680-8455

Other practice location 1

12625 Hesperia Rd
Victorville, CA 92395-7720
Phone (760) 995-8300

Other practice location 2

9320 Base Line Rd Ste A
Rancho Cucamonga, CA 91701-5829
Phone (909) 247-3772

Other practice location 3

14135 Main St
Hesperia, CA 92345-8092
Phone (833) 574-2273

Other practice location 4

1841 E Main St
Barstow, CA 92311-3234
Phone (760) 255-5700

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
136276CAMDMarriage & Family Therapist
MG61662104WAMDMarriage & Family Therapist
MG616622104WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ready to Evolve Recovery Center LLC PastSince Nov 3, 2024 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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1093900151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "760-680-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 216TH ST SW STE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432089",
            "telephone_number": "760-680-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12625 Hesperia Rd",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923957720",
            "country_code": "US",
            "telephone_number": "760-995-8300",
            "fax_number": "760-955-2356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9320 Base Line Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917015829",
            "country_code": "US",
            "telephone_number": "909-247-3772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14135 Main St",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923458092",
            "country_code": "US",
            "telephone_number": "833-574-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 E Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113234",
            "country_code": "US",
            "telephone_number": "760-255-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGLA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136276",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG616622104",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61662104",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.