Individual provider Active NPI

Angela M Smith, LPC

  • Professional Counselor
  • Zachary, LA
National Provider Identifier
1134738107
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
9510 Arbor LN
Zachary, LA 70791-7460
Phone
(225) 454-3995
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X PLC7918 LA
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

9510 Arbor LN
Zachary, LA 70791-7460

Mailing address

9510 Arbor LN
Zachary, LA 70791-7460
Phone (225) 454-3995

Other names 1

  • Angela M Butler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409004972 LA Practitioner - Mental Health Counselor 4183062136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelth, IncorporatedGroup PAC ID 9830364629, 17 clinicians

Practice addresses (Care Compare)

730 Colonial Dr
Suite E
Baton Rouge, LA 70806-6536
Phone (225) 201-9862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PLC7918LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Excelth, Incorporated CurrentSince Feb 27, 2024 Accepting new patients
Excelth, Incorporated Case Manager/Care Coordinator Current Accepting new patients
Excelth, Incorporated Professional CurrentSince Feb 27, 2024 Accepting new patients

Locations

730 Colonial Dr
Ste E
Baton Rouge, LA 70806
Phone (225) 201-0751

9900 Lake Forest Blvd
#F
New Orleans, LA 70127
Phone (504) 939-9984

6600 Franklin Ave
Ste A7
New Orleans, LA 70122
Phone (504) 620-9868

4422 General Meyer Ave
Ste 103
New Orleans, LA 70131
Phone (504) 366-0808

1515 Poydras St
Ste 1070
New Orleans, LA 70112
Phone (504) 240-2273

9900 Lake Forest Blvd
Ste F
New Orleans, LA 70127
Phone (504) 240-2273

Organizations & group practices 3

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1134738107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ARBOR LN",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917460",
            "telephone_number": "225-454-3995",
            "fax_number": "225-362-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 ARBOR LN",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917460",
            "telephone_number": "225-454-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PLC7918",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BUTLER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.