Active NPI
Michael D D'Angelo, MA, LMFT-A
- Counselor
- Portland, OR
National Provider Identifier
1346837614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R6512
- Practice address
- 1130 SW Morrison St Ste 328-1
Portland, OR 97205-2234 - Phone
- (503) 781-9598
- Fax
- (971) 423-0385
- NPI assigned
- Dec 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MG61107120 | WA | |
| Counselor | 101Y00000X | R6512 | OR | Primary |
Addresses
Primary practice location
1130 SW Morrison St Ste 328-1
Portland, OR 97205-2234
Mailing address
503 NE 29TH Ave
Portland, OR 97232-2411
Phone (503) 781-9598
Other practice location 1
503 NE 29th Ave
Portland, OR 97232-2411
Phone (503) 781-9598
Other practice location 2
601 Main St Ste 207
Vancouver, WA 98660-3403
Phone (503) 781-9598
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
| License | State | Type | Specialty |
|---|---|---|---|
| R6512 | OR | MD | Counselor |
| MG61107120 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1346837614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 NE 29TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322411",
"telephone_number": "503-781-9598",
"fax_number": "971-423-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 SW MORRISON ST STE 328-1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052234",
"telephone_number": "503-781-9598",
"fax_number": "971-423-0385"
}
],
"practiceLocations": [
{
"address_1": "503 NE 29th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972322411",
"country_code": "US",
"telephone_number": "503-781-9598",
"fax_number": "971-423-0385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Main St Ste 207",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986603403",
"country_code": "US",
"telephone_number": "503-781-9598",
"fax_number": "971-423-0385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'ANGELO",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MA, LMFT-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-21",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MG61107120",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R6512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.