Angela L Pobanz, MA, CMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9681359-6004 Issued in UT

Practice address

1407 N 2000 W Ste a
Clinton, UT 84015-8563

Phone

(434) 258-3635

NPI assigned

Dec 4, 2019

Last updated

Dec 4, 2019By 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 1

Addresses

Other names 1

• Angela L Pobanz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1508403098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 WILLOW BEND RD",
            "city": "MOUNTAIN GREEN",
            "state": "UT",
            "postal_code": "840508725",
            "telephone_number": "434-258-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N 2000 W STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158563",
            "telephone_number": "434-258-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POBANZ",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "MA, CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "9681359-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "POBANZ",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Clinton, UT
• Providers in Clinton, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.