Angelica F Whitaker

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CTB-2025-0602 Issued in NM

Practice address

1009 Ridgeway PL
Farmington, NM 87401-2092

Phone

(505) 402-6886

NPI assigned

Aug 25, 2025

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

• Knew Creation LLC

  • Professional Counselor
  • Farmington, NM
  • NPI 1235894528
  NPD (past)

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1407734734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 RIDGEWAY PL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012092",
            "telephone_number": "970-589-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 RIDGEWAY PL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012092",
            "telephone_number": "505-402-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874019022",
            "country_code": "US",
            "telephone_number": "505-402-6886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ANGELICA",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2025-0602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Lynne Wethington, LMSW
• Wetzel D. Williams MD, PC
• Anneliese Weyrauch, LMHC
• Crystal Dawn Wheeler
• Sherry Lee Wheeler
• Casey Whitaker
• Hailey Amanda Whitaker, PHARMD
• Emma Rhiannon White
• Erin Lee White, SLP
• Jared C. White, PHARMD

• Addiction (Substance Use Disorder) Counselor in Farmington, NM
• Providers in Farmington, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.