Jenny E Angamarca

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Carmel, NY

NPI 1336971985 · NPPES record last updated Aug 14, 2024

Key facts

NPI
1336971985
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
36277-T (NY)
Practice address
21 Old Route 6
Carmel, NY 10512-2107
Phone
(845) 225-5202
Fax
(845) 225-0700
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
36277-TNYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arms Acres Inc Past
since Aug 18, 2024
Accepting new patients
Arms Acres Inc Past
since Aug 18, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 36277-T NY Yes

Addresses

Primary practice location

21 Old Route 6
Carmel, NY 10512-2107

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523

Other providers in Carmel, NY

All providers in Carmel, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.