Active NPI
Angela Masinde, MA, LLPC, ATR-P
- Professional Counselor
- Ypsilanti, MI
National Provider Identifier
1306454665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401018410
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401018410 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Health Center, PLLC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.