Individual provider Active NPI

Angelina Devengencie, BC-DMT

  • Dance Therapist
  • Pittsburgh, PA
National Provider Identifier
1396511382
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
Practice address
309 Clarence St
Pittsburgh, PA 15211-1139
Phone
(330) 883-3151
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X Primary

Addresses

Primary practice location

309 Clarence St
Pittsburgh, PA 15211-1139

Mailing address

309 Clarence St
Pittsburgh, PA 15211-1139
Phone (330) 883-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250905002822 PA Practitioner - Mental Health Counselor 9133621410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

309 Clarence St
Pittsburgh, PA 15211-1139

3811 Ohara St
Suite 250
Pittsburgh, PA 15213-2597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Presbyterian Shadyside CurrentSince Aug 6, 2025 Accepting new patients
Upmc Presbyterian Shadyside CurrentSince Aug 6, 2025 Accepting new patients

Locations

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

3811 Ohara St
Ste 250
Pittsburgh, PA 15213

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1396511382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CLARENCE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111139",
            "telephone_number": "330-883-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CLARENCE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111139",
            "telephone_number": "330-883-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENGENCIE",
        "first_name": "ANGELINA",
        "name_prefix": "Ms.",
        "credential": "BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.