Individual provider Active NPI

Angela K Waggoner, PH.D., LPC-S , NCC

  • School Counselor
  • Friendswood, TX
National Provider Identifier
1194060434
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
1245389 Issued in TX
Practice address
1106 S Friendswood Dr Ste B
Friendswood, TX 77546-5567
Phone
(832) 872-2077
Fax
(832) 872-2033
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 65480 TX
Professional Counselor 101YP2500X 65480 TX
Professional Counselor 101YP2500X 0701007809 VA
School Counselor 101YS0200X 1245389 TX Primary

Addresses

Primary practice location

1106 S Friendswood Dr Ste B
Friendswood, TX 77546-5567

Mailing address

4808 Fairmont Pkwy # 361
Pasadena, TX 77505-3722
Phone (281) 678-4622

Other identifiers 3

IdentifierTypeStateIssuer
0701007809OtherVALICENSED PROFESSIONAL COUNSELOR - SUPERVISOR
8267OtherLALICENSED PROFESSIONAL COUNSELOR - SUPERVISOR
65480OtherTXLICENSED PROFESSIONAL COUNSELOR - SUPERVISOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240517001146 TX Practitioner - Mental Health Counselor 2264674605 Reassigns benefits to 2 organizations
I20240815004700 DC Practitioner - Mental Health Counselor 2264674605 Reassigns benefits to 1 organization
I20241112000684 LA Practitioner - Mental Health Counselor 2264674605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10401 Crumpets LN
North Chesterfield, VA 23235-3823

1560 W Bay Area Blvd
Suite 150
Friendswood, TX 77546-2672
Phone (832) 872-2077

4808 Fairmont Pkwy
Suite 361
Pasadena, TX 77505-3722

66 E Flagler St
Miami, FL 33130-1807

66 W Flagler St
Suite 900
Miami, FL 33130-1812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1245389TXMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Haven Counseling Center Counselor CurrentSince Aug 1, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Apr 13, 2024 Accepting new patients
Safe Haven Connect PastSince Jul 9, 2025 Accepting new patients
Professional Assessment Counseling & Training Professional Past Accepting new patients
Psychological Associates of Clear Lake PastSince Aug 4, 1992 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

1560 W Bay Area Blvd
Ste 150
Friendswood, TX 77546
Phone (281) 218-7900

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

17300 Saturn Ln
Ste 103
Houston, TX 77058
Phone (281) 554-6100

4808 Fairmont Pkwy
Pasadena, TX 77505
Phone (832) 304-4185

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1194060434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 FAIRMONT PKWY # 361",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053722",
            "telephone_number": "281-678-4622",
            "fax_number": "832-872-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 S FRIENDSWOOD DR STE B",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465567",
            "telephone_number": "832-872-2077",
            "fax_number": "832-872-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "ANGELA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC-S , NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "65480",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65480",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007809",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "1245389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR - SUPERVISOR",
            "identifier": "0701007809",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR - SUPERVISOR",
            "identifier": "8267",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR - SUPERVISOR",
            "identifier": "65480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.