Angela Marie Avery, LMHC
Individual provider Active NPI Mental Health Counselor · Milton, FL
NPI 1104091925 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1104091925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH9279 (FL)
- Practice address
- 308 Merrill Dr
Milton, FL 32570-4142 - Phone
- (850) 773-6276
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 5, 2026 through Feb 5, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH9279 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9279 | FL | Yes |
Addresses
Primary practice location
308 Merrill Dr
Milton, FL 32570-4142
Mailing address
308 Merrill Dr
Milton, FL 32570-4142
Phone (850) 736-2767
Other providers in Milton, FL
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- Justin Dean Baker
- Kim Baker
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All providers in Milton, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.