Individual provider Active NPI

Angela Williams

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1386250926
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CI666 Issued in NV
Practice address
6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755
Phone
(702) 209-0370
Fax
(702) 463-1851
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CI666 NV Primary

Addresses

Primary practice location

6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755

Mailing address

6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755
Phone (702) 209-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723003463 NV Practitioner - Mental Health Counselor 2365988680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

4000 E Charleston Blvd
Suite 130
Las Vegas, NV 89104-6681
Phone (702) 968-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI666NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Jun 10, 2024 Accepting new patients
Unlv Medicine CurrentSince Jun 10, 2024 Accepting new patients

Locations

4000 E Charleston Blvd
Ste 130
Las Vegas, NV 89104
Phone (702) 480-1031

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315

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.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1386250926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034755",
            "telephone_number": "702-209-0370",
            "fax_number": "702-463-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034755",
            "telephone_number": "702-209-0370",
            "fax_number": "702-463-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.