Angela Kay Pyke, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5144 Issued in OR

Practice address

220 S Pine St Ste 102
Sisters, OR 97759-1670

Phone

(541) 904-0083

Fax

(541) 508-4526

NPI assigned

Sep 5, 2018

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Angela Kay Wagner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 19, 2025 through Nov 19, 2027

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.

• Healing Roots Counseling, LLC

  • Mental Health Counselor
  • Sisters, OR
  • NPI 1861050072
  NPD Authorized official

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1356823306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S PINE ST STE 102",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591670",
            "telephone_number": "541-904-0083",
            "fax_number": "541-508-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PINE ST STE 102",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591670",
            "telephone_number": "541-904-0083",
            "fax_number": "541-508-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 SE Davis Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021333",
            "country_code": "US",
            "telephone_number": "541-904-0083",
            "fax_number": "541-508-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYKE",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WAGNER",
            "middle_name": "KAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ponderosa Family Chiropractic
• Praxis Health, PC (High Lakes Health Care Sisters)
• Praxis Health, PC (Desert Orthopedics)
• Theodore Prier, MD
• Lindsey M Pruyn, PA
• Redefine, LLC
• Clayton George Reinhardt, DO
• Thomas Roy Rheuben, DMD
• Fiona Elise Richmond, QMHP CSWA
• Tod M Ricker, LPC

• Mental Health Counselor in Sisters, OR
• Providers in Sisters, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.