Angela Ayala, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3004-226 Issued in WI

Practice address

916 Willard Dr Ste 205
Green Bay, WI 54304-6228

Phone

(920) 750-6132

Fax

(920) 312-7629

NPI assigned

May 18, 2016

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Embrace Hope Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
  • NPI 1932690302
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1336596519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 WILLARD DR STE 205",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543046228",
            "telephone_number": "920-750-6132",
            "fax_number": "920-312-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WILLARD DR STE 205",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543046228",
            "telephone_number": "920-750-6132",
            "fax_number": "920-312-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "ANGELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3004-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roanne M Austin, CPHT
• Kaitlin M Auten
• Michael Thomas Avery, DO
• Aviva Medical
• John Tokunbo Awowale, M.D.
• Mohamed Moneeb Abdellatif Azab, M.D
• Craig Babiarz, C.R.N.A.
• Lukasz S Babiarz, M.D., M.B.A.
• Britny L Babler, APNP
• Haley Babler, LAT, ATC

• Professional Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.