Angelica Lee Afford, CDP, LMHC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP 00006046 Issued in WA

Practice address

686 Lake St Ste 400
Port Townsend, WA 98368-2282

Phone

(360) 385-3866

Fax

(360) 385-7288

NPI assigned

Mar 22, 2017

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

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

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.

• Jefferson Community Counseling Center

  • Community/Behavioral Health Agency
  • Port Townsend, WA
  • NPI 1083701015
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1437680345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 LAKE ST STE 400",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682282",
            "telephone_number": "360-385-3866",
            "fax_number": "360-385-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 LAKE ST STE 400",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682282",
            "telephone_number": "360-385-3866",
            "fax_number": "360-385-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFORD",
        "first_name": "ANGELICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CDP, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 00006046",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60323510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.