Active NPI
Angella Briggs
- Mental Health Counselor
- Inverness, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13195
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sma Healthcare, Inc | Current | Accepting new patients | |
| Sma Healthcare Inc | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Daytona Beach, FL
- NPI 1356329163
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1255950168
-
- Primary Care Clinic/Center
- Leesburg, FL
- NPI 1659613776
-
- Psychiatric Hospital
- Daytona Beach, FL
- NPI 1750369666
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
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
- Jordan Cymone Boyd
- Valerie Ann Brandt, ARNP
- Brashears Vital Care Corp (Brashear's Pharmacy Long-Term Care)
- Brashears Vital Care Corp (Brashears Pharmacy)
- Cheryl Bray, APRN
- Stephanie Marie Briscoe, RD, LD/N
- Bruce Lloyd Browman, P.T.
- Kellie Brown, LMHC
- Maria Rosa Brown, A.R.N.P
- Annamarie Bruno, LMT, BCTMB
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.
- 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.