Individual provider Active NPI

Angela Maria Deguerra, LPC-A

  • Professional Counselor
  • Baytown, TX
National Provider Identifier
1548021736
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93668 Issued in TX
Practice address
5010 N Main St
Baytown, TX 77521-9606
Phone
(281) 421-0090
Fax
(281) 421-0193
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 93668 TX Primary

Addresses

Primary practice location

5010 N Main St
Baytown, TX 77521-9606

Mailing address

8118 Blue Jay St
Baytown, TX 77523-0802
Phone (281) 684-6596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93668TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Pathways Counseling Services, PLLC Professional CurrentSince Jan 21, 2024 Accepting new patients

Locations

5010 N Main St
Baytown, TX 77521
Phone (281) 421-0090

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1548021736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 BLUE JAY ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775230802",
            "telephone_number": "281-684-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 N MAIN ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219606",
            "telephone_number": "281-421-0090",
            "fax_number": "281-421-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUERRA",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.