Angela Rallis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69684 Issued in TX

Practice address

1714 10TH St
Wichita Falls, TX 76301-5011

Phone

(940) 766-4482

Fax

(940) 766-4487

NPI assigned

Nov 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jesse Gorley MD PLLCGroup PAC ID 6204165442, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Jesse Gorley, M.D., PLLC

  • Psychiatry Physician
  • Wichita Falls, TX
  • NPI 1164083010
  Medicare reassignment Care Compare group NPD
• Foundations of Texoma Enterprises, PA

  dba Foundations

  • Psychiatry Physician
  • Wichita Falls, TX
  • NPI 1568529477
  NPD (past)

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1306242094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015011",
            "telephone_number": "940-766-4482",
            "fax_number": "940-766-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015011",
            "telephone_number": "940-766-4482",
            "fax_number": "940-766-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALLIS",
        "first_name": "ANGELA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mrunalini Vinayak Radkar, M.D.
• Vinayak Radkar, M.D.
• Larry Wayne Rains, DDS
• Rajesh Atluri, MD
• Madhavi R Rajulapalli, MD
• Racheal Rallis, LPCI
• Lizbeth Ramirez
• Rachel Ramirez
• Vicki Diane Ramirez
• Joshua Marcus Ramos

• Professional Counselor in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.

Verify at the official NPI Registry.