Individual provider Active NPI

Angelica D Manzo, MA LPCC

  • Mental Health Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1316532286
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8733 Issued in CA
Practice address
9721 Brilliant LN
Rancho Cucamonga, CA 91737-2920
Phone
(909) 519-9575
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8733 CA Primary

Addresses

Primary practice location

9721 Brilliant LN
Rancho Cucamonga, CA 91737-2920

Mailing address

9721 Brilliant LN
Rancho Cucamonga, CA 91737-2920
Phone (909) 519-9575

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL http://wavetherapist.com/therapists/angelica-manzo/ Direct
CONNECT URL http://wavetherapist.com/therapists/angelica-manzo/ Direct
CONNECT URL www.WellnessRanchTherapy.org Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8733CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
HRC Integrative Mental Health Professional Clinical Counselor PC Mental Health CurrentSince Nov 7, 2025 Accepting new patients
Wellness Ranch Equine Assisted Therapy Mental Health CurrentSince Nov 7, 2025 Accepting new patients

Organizations & group practices 2

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1316532286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 BRILLIANT LN",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372920",
            "telephone_number": "909-519-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 BRILLIANT LN",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372920",
            "telephone_number": "909-519-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "ANGELICA",
        "middle_name": "D",
        "credential": "MA LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://wavetherapist.com/therapists/angelica-manzo/",
            "affiliation": "N",
            "endpointDescription": "WAVE therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23181 La Cadena Dr",
            "city": "Laguna Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926531479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://wavetherapist.com/therapists/angelica-manzo/",
            "affiliation": "N",
            "endpointDescription": "WAVE therapist",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23181 La Cadena Dr",
            "city": "Laguna Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926531479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.WellnessRanchTherapy.org",
            "affiliation": "N",
            "endpointDescription": "Wellness Ranch Therapy Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9721 Brilliant Ln",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917372920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.