Individual provider Active NPI

Angie Noack, LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1407494560
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0015260 Issued in CO
Practice address
9185 E Kenyon Ave Ste 195
Denver, CO 80237-1822
Phone
(720) 649-6376
NPI assigned
Dec 19, 2019
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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 LPC.0015260 CO Primary

Addresses

Primary practice location

9185 E Kenyon Ave Ste 195
Denver, CO 80237-1822

Mailing address

9185 E Kenyon Ave Ste 195
Denver, CO 80237-1822
Phone (720) 649-6376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260602002333 CO Practitioner - Mental Health Counselor 3678044534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10565 Black Opal Rd
San Diego, CA 92127-4433

2642 E 21St St
Suite 175
Tulsa, OK 74114-1734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0015260COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroptimize PLLC Professional CurrentSince Dec 22, 2019 Accepting new patients

Locations

9185 E Kenyon Ave
Ste 195
Denver, CO 80237
Phone (720) 649-6376

1400 S Colorado Blvd
Ste 445
Denver, CO 80222
Phone (720) 990-7675

7921 Southpark Plz
Ste 102
Littleton, CO 80120
Phone (720) 408-6329

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, 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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1407494560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9185 E KENYON AVE STE 195",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371822",
            "telephone_number": "720-649-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9185 E KENYON AVE STE 195",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371822",
            "telephone_number": "720-649-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOACK",
        "first_name": "ANGIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.