Angelina Alliance for Children

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17702 Issued in TX

Legal business name

ANGELINA ALLIANCE FOR CHILDREN

Practice address

109 Temple Blvd
Lufkin, TX 75901-7321

Phone

(936) 634-1999

NPI assigned

Feb 19, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Mona Hill

Title

Executive Director

Phone

(936) 634-1999

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cherry Dale Baker, MSN, RN, CA-SANE

  • Registered Nurse
  • Lufkin, TX
  • NPI 1396546818
  NPD (past)
• Jacquelyn Suell Johnson

  • School Registered Nurse
  • Lufkin, TX
  • NPI 1346169091
  NPD (past)

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

{
    "created_epoch": "1298073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1376840751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 TEMPLE BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 TEMPLE BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017321",
            "telephone_number": "936-634-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA ALLIANCE FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-19",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "936-634-1999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17702",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "17702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penelope Anderson
• Robert W Anderson Jr., OD
• Jacky Andreatta, M.AT, LAT, ATC
• Andrew J. Fercowicz, M.D.,P.a.
• Angel's Choice Home Health Professionals, LLC
• Angelina County & Cities Health District
• Angelina County Senior Citizens Activities Inc
• Angelina Diagnostic Radiology Associates (ADRA Medical Imaging)
• Angelina Emergency Medicine Associates PA
• Angelina Family Medicine, P.a.

• Mental Health Counselor in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.