Angela McMahon

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RI-M1406212130 Issued in CA

Practice address

5211 W Goshen Ave Unit 332
Visalia, CA 93291-8619

Phone

(559) 749-5937

NPI assigned

Sep 11, 2017

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Behavioral Health Services Inc.

  dba Redgate Memorial Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
  • NPI 1134259088
  NPD (past)
• Serene Health

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1649809526
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1205355278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N HARBOR VIEW AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322929",
            "telephone_number": "424-533-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 W GOSHEN AVE UNIT 332",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918619",
            "telephone_number": "559-749-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-M1406212130",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Edward McKee, MD
• Terri McKee, CCC-SLP
• Brittany Rose McLain
• Kelly Elizabeth McLaughlin
• Susan H. McLearan, RDHAP
• Kimberley McMains, CADC II
• Catherine A McNinch, M.D.
• Hope McNutt
• Sharon Meckenstock, LMFT
• Medcalf and Schommer Physical Therapy

• Addiction (Substance Use Disorder) Counselor in Visalia, CA
• Providers in Visalia, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.