Individual provider Active NPI

Angela Masinde, MA, LLPC, ATR-P

  • Professional Counselor
  • Ypsilanti, MI
National Provider Identifier
1306454665
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018410 Issued in MI
Practice address
3150 Packard Rd
Ypsilanti, MI 48197-1994
Phone
(734) 203-0183
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401018410 MI Primary

Addresses

Primary practice location

3150 Packard Rd
Ypsilanti, MI 48197-1994

Mailing address

3150 Packard Rd
Ypsilanti, MI 48197-1994

Other names 1

  • Angie Masinde Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241127003580 MI Practitioner - Mental Health Counselor 4880129881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401018410MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Health Center, PLLC Professional CurrentSince Jan 13, 2025 Accepting new patients

Locations

38807 Ann Arbor Rd
Ste 9
Livonia, MI 48150
Phone (734) 772-0148

Organizations & group practices 1

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1306454665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971994",
            "telephone_number": "734-203-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASINDE",
        "first_name": "ANGELA",
        "credential": "MA, LLPC, ATR-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "MASINDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.