Individual provider Active NPI

Angelica Marcella Sandoval, MS ED

  • Mental Health Counselor
  • Wellington, FL
National Provider Identifier
1386916013
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15690 Issued in FL
Practice address
2823 Shaughnessy Dr
Wellington, FL 33414-6497
Phone
(561) 318-8608
NPI assigned
Jan 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15690 FL Primary

Addresses

Primary practice location

2823 Shaughnessy Dr
Wellington, FL 33414-6497

Mailing address

2823 Shaughnessy Dr
Wellington, FL 33414-6497
Phone (561) 318-8608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250902002766 FL Practitioner - Mental Health Counselor 1456852284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Fordham University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whole Health Psychological CenterGroup PAC ID 7517231301, 4 clinicians

Practice addresses (Care Compare)

1920 Palm Beach Lakes Blvd
Suite 211
West Palm Beach, FL 33409-3506
Phone (360) 460-7253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH15690FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Psychological Center CurrentSince Aug 21, 2025 Accepting new patients

Locations

1920 Palm Beach Lakes Blvd
Ste 211
West Palm Beach, FL 33409
Phone (360) 460-7253

Organizations & group practices 1

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": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1386916013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 SHAUGHNESSY DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146497",
            "telephone_number": "561-318-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 SHAUGHNESSY DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146497",
            "telephone_number": "561-318-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ANGELICA",
        "middle_name": "MARCELLA",
        "name_prefix": "Mrs.",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.