Angela Alice Izmirian, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2876 Issued in OR

Practice address

10819 NE 99TH Ave
Vancouver, WA 98662-3439

Phone

(818) 437-4232

NPI assigned

Sep 20, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 14, 2019 through Feb 14, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Izmirian Counseling, Professional Corporation

  • Counseling Psychologist
  • Vancouver, WA
  • NPI 1932722345
  NPD Authorized official

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1407365604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10819 NE 99TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623439",
            "telephone_number": "818-437-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10819 NE 99TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623439",
            "telephone_number": "818-437-4232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 N Williams Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271441",
            "country_code": "US",
            "telephone_number": "503-281-4852 x218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZMIRIAN",
        "first_name": "ANGELA",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "2876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Searle Ivy, C.N.M.
• Uchendu Ezra Iwuanyanwu, OTD, OTR/L
• Anusha Iyer, DPM
• Rostislav V Izhevskiy
• Izmirian Counseling, Professional Corporation
• J J Miller Chiropractic
• J Ryan Moses DMD PS
• J Williams ENT, LLC
• J Winger, DDS, PLLC
• J. Blake Perkins, DDS, PS

• Counseling Psychologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.