Individual provider Active NPI

Angel M Stager

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1316264609
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
282119 Issued in KY
Practice address
2335 Sterlington Rd Ste 100
Lexington, KY 40517-3937
Phone
(859) 912-7670
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X KY
Professional Counselor 101YP2500X 282119 KY Primary

Addresses

Primary practice location

2335 Sterlington Rd Ste 100
Lexington, KY 40517-3937

Mailing address

3840 Trout CT
Lexington, KY 40517-5300
Phone (859) 533-5280

Other practice location 1

1351 Newtown Pike
Lexington, KY 40511-1275
Phone (859) 253-1686 ext. 520

Other identifiers 1

IdentifierTypeStateIssuer
1790731081MedicaidKY

Other names 1

  • Miss Angel M Abney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
282119KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Behavioral, LLC PastSince Jan 15, 2023 Accepting new patients

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": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1316264609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 TROUT CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405175300",
            "telephone_number": "859-533-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 STERLINGTON RD STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173937",
            "telephone_number": "859-912-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 Newtown Pike",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405111275",
            "country_code": "US",
            "telephone_number": "859-253-1686 x520",
            "fax_number": "859-254-2743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGER",
        "first_name": "ANGEL",
        "middle_name": "M",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "282119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "ABNEY",
            "middle_name": "M",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.