Angela Jo Nunnelly, ALC, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ALC01278 Issued in AL

Practice address

307 S 5TH St Ste a
Gadsden, AL 35901-4259

Phone

(256) 393-0705

Fax

(205) 238-6663

NPI assigned

Apr 23, 2009

Last updated

Mar 22, 2023By 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 2

Addresses

Other names 1

• Ms. Angela Jo Jaynes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Hope Springs Counseling and Wellness

  • Mental Health Counselor
  • Gadsden, AL
  • NPI 1811711831
  NPD Authorized official
• Crossroads to Pathways LLC

  • Community/Behavioral Health Agency
  • Gadsden, AL
  • NPI 1861915126
  NPD

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1487898284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 5TH ST STE A",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014259",
            "telephone_number": "256-393-0705",
            "fax_number": "205-238-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 5TH ST STE A",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014259",
            "telephone_number": "256-393-0705",
            "fax_number": "205-238-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNELLY",
        "first_name": "ANGELA",
        "middle_name": "JO",
        "credential": "ALC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC01278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "JAYNES",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northshore Family Medicine, P.C.
• Northside SNF Operations LLC (Northside Rehabilitation and Healthcare Center)
• Emily Norton, DO
• Jennifer L Nowell, OTR
• Kathryn Nunnelley
• Nutrition Choices, LLC
• Nutrition Counseling and Wellness Partners of Alabama, LLC
• Katrea O'Brien, ALC
• Itoro Obot
• Occupational Therapy of Gadsden LLC

• Counselor in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.