Individual provider Active NPI

Nanette Marie Angelle, LPC

  • Professional Counselor
  • Crowley, LA
National Provider Identifier
1417629601
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6990 Issued in LA
Practice address
1822 W 2ND St
Crowley, LA 70526-4720
Phone
(337) 788-7511
Fax
(337) 788-7588
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 6990 LA Primary

Addresses

Primary practice location

1822 W 2ND St
Crowley, LA 70526-4720

Mailing address

1822 W 2ND St
Crowley, LA 70526-4720
Phone (337) 788-7511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240102000554 LA Practitioner - Mental Health Counselor 3678923786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6990LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District Current Accepting new patients
Acadiana Area Human Services District CurrentSince Jan 1, 2024 Accepting new patients
Acadiana Area Human Services District CurrentSince Jan 1, 2024 Accepting new patients

Locations

1822 W 2nd St
Crowley, LA 70526
Phone (337) 788-7511

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/aahsd/r4/

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Area Human Services District 38 clinicians

Practice addresses (Care Compare)

1822 W 2ND St
Crowley, LA 70526-4720
Phone (337) 788-7511

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4109

611 W Admiral Doyle Dr
New Iberia, LA 70560-6408
Phone (337) 373-0002

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1417629601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 W 2ND ST",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264720",
            "telephone_number": "337-788-7511",
            "fax_number": "337-788-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 W 2ND ST",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264720",
            "telephone_number": "337-788-7511",
            "fax_number": "337-788-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELLE",
        "first_name": "NANETTE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.