Individual provider Active NPI

Angela Elizabeth Pitton, LPCC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1144760562
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01403 Issued in MN
Practice address
2637 27TH Ave S # 248
Minneapolis, MN 55406-1565
Phone
(952) 270-9108
NPI assigned
Mar 3, 2017
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 CC01403 MN Primary

Addresses

Primary practice location

2637 27TH Ave S # 248
Minneapolis, MN 55406-1565

Mailing address

5315 2ND Ave S
Minneapolis, MN 55419-1412
Phone (952) 270-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 30, 2024 through Dec 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC01403MNMDProfessional Counselor
1403MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Art Therapy of MN Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1144760562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 2ND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191412",
            "telephone_number": "952-270-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S # 248",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061565",
            "telephone_number": "952-270-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTON",
        "first_name": "ANGELA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.