Angela Marie Green, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007474 Issued in VA

Practice address

199 Spotnap Rd Ste 6a
Charlottesville, VA 22911-8827

Phone

(434) 414-1855

NPI assigned

Jan 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Region Ten Community Community Services Board

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1942270699

  Mental Health

  Medicare reassignment NPD
• Skyline Mental Health, LLC

  • Mental Health Counselor
  • Charlottesville, VA
  • NPI 1699271122
  NPD (past) Authorized official

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1164920591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SPOTNAP RD STE 6A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118827",
            "telephone_number": "434-414-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SPOTNAP RD STE 6A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118827",
            "telephone_number": "434-414-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0701007474",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007474",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronna R Gray, OT
• Susan Hayden Gray, M.D.
• Ashley M Graziano, DO
• Ronald Greathead, LICAC
• Bridgid Greed
• Clare Kathryn Green
• Colleen W. Green, P.A.
• Elizabeth Eggeling Green, OTR/L
• Gloria Bruce Green, PHARMD, CGP
• Jeffery Tyler Green, M.D.

• Professional Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.