Individual provider Active NPI

Angella Briggs

  • Mental Health Counselor
  • Inverness, FL
National Provider Identifier
1255707808
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13195 Issued in FL
Practice address
107 Dr Martin Luther King Jr Ave Ste 1
Inverness, FL 34450-4300
Phone
(800) 539-4228
Fax
(352) 291-5588
NPI assigned
Aug 18, 2015
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13195 FL Primary

Addresses

Primary practice location

107 Dr Martin Luther King Jr Ave Ste 1
Inverness, FL 34450-4300

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304
Phone (862) 363-2253

Other practice location 1

3238 S Lecanto Hwy
Lecanto, FL 34461-9025
Phone (352) 291-5555 ext. 1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240119003292 FL Practitioner - Mental Health Counselor 4284086760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sma Healthcare IncGroup PAC ID 0244226363, 39 clinicians

Practice addresses (Care Compare)

107 Dr Martin Luther King Jr Ave
Inverness, FL 34450-4341
Phone (352) 291-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sma Healthcare, Inc CurrentSince Jan 1, 2024 Accepting new patients
Sma Healthcare Inc CurrentSince Jan 1, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Lifestream Behavioral Center Inc Past Accepting new patients
Sma Healthcare Inc Past Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

107 Dr Martin Luther King Jr Ave
Inverness, FL 34450
Phone (352) 244-9294

107 Dr Martin Luther King Jr Ave
Ste 1
Inverness, FL 34450
Phone (813) 666-2714

5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555

717 SW Mlk Jr Ave
Ocala, FL 34471
Phone (352) 291-5555

Interoperability endpoints

  • Direct secure messaging: angella.briggs.p1@direct.smahealthcare.nextgenshare.com

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, 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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1255707808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAGNOLIA AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144304",
            "telephone_number": "862-363-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DR MARTIN LUTHER KING JR AVE STE 1",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504300",
            "telephone_number": "800-539-4228",
            "fax_number": "352-291-5588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3238 S Lecanto Hwy",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344619025",
            "country_code": "US",
            "telephone_number": "352-291-5555 x1001",
            "fax_number": "352-628-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "ANGELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.