Angela Marie Tayson, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10336-125 Issued in WI

Practice address

1056 Alpine Dr
Green Bay, WI 54311-5400

Phone

(231) 420-6707

Fax

(000) 000-0000

NPI assigned

Apr 27, 2016

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Angela Marie Vallance Former name

Medicare fee-for-service enrollment

Enrolled in WY, WI, MO, MN4 enrollments

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 4

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.tayson.1@30920.direct.athenahealth.com

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MN, MO, Professional, WI

  Medicare reassignment NPD
• Hope and Healing Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cheyenne, WY
  • NPI 1801533013
  Medicare reassignment NPD
• Hansen & Associates Inc

  • Professional Counselor
  • Cheyenne, WY
  • NPI 1750570644
  NPD (past)
• Hansen and Associates

  • Community/Behavioral Health Agency
  • Cheyenne, WY
  • NPI 1255702072
  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1477908465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 ALPINE DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115400",
            "telephone_number": "231-420-6707",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 ALPINE DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115400",
            "telephone_number": "231-420-6707",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYSON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "PPC-1114",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-2028",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10336-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "VALLANCE",
            "middle_name": "MARIE",
            "credential": "MA, PPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Taylor, MD
• John W Taylor, D.O.
• Katelyn Taylor
• Martha Marie Taylor, PA-C
• Tanner Nichole Taylor, OD
• David Seeger Tearse, MD
• Carli Megan Tebo, LAT
• Sheila M Teddy
• Amber Marie Teele, LPC, SAC, NCC
• Merle L Teetzen, MD

• Professional Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.