Individual provider Active NPI

Angela Rene Sasseville, MA, NCC, LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1184808883
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3557 W 44TH Ave
Denver, CO 80211-1313
Phone
(303) 875-0386
Fax
(303) 455-9667
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

3557 W 44TH Ave
Denver, CO 80211-1313

Mailing address

3557 W 44TH Ave
Denver, CO 80211-1313
Phone (303) 875-0386

Other identifiers 1

IdentifierTypeStateIssuer
4931OtherCOLICENSED PROFESSIONAL COUNSELOR

Other names 1

  • Angela Rene Bohlender Former name

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1184808883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111313",
            "telephone_number": "303-875-0386",
            "fax_number": "303-455-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111313",
            "telephone_number": "303-875-0386",
            "fax_number": "303-455-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSEVILLE",
        "first_name": "ANGELA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "4931",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BOHLENDER",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.