Individual provider Active NPI

Angela Frank, LPC, NCC, CAADC

  • Professional Counselor
  • North East, PA
National Provider Identifier
1316462799
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010131 Issued in PA
Practice address
143 W. Main St.
Suite 110
North East, PA 16428-1333
Phone
(814) 347-5018
Fax
(814) 347-5186
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12348 PA
Mental Health Counselor 101YM0800X PC010131 PA
Professional Counselor 101YP2500X PC010131 PA Primary

Addresses

Primary practice location

143 W. Main St.
Suite 110
North East, PA 16428-1333

Mailing address

143 West Main Street
Suite 110
North East, PA 16428-1333
Phone (814) 347-5018

Other identifiers 1

IdentifierTypeStateIssuer
1035120970001MedicaidPA

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
12348PAMDAddiction (Substance Use Disorder) Counselor
PC010131PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Watershed Counseling Services, LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

143 W Main St
Ste 110
North East, PA 16428
Phone (814) 347-5018

110 E Main St
Ste 1
North East, PA 16428
Phone (814) 347-5018

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1316462799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WEST MAIN STREET",
            "address_2": "SUITE 110",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281333",
            "telephone_number": "814-347-5018",
            "fax_number": "814-347-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W. MAIN ST.",
            "address_2": "SUITE 110",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281333",
            "telephone_number": "814-347-5018",
            "fax_number": "814-347-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "ANGELA",
        "credential": "LPC, NCC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "12348",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC010131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035120970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.