Active NPI
Angela Nicholson, LPC
- Professional Counselor
- Crowley, TX
National Provider Identifier
1578218285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83142
- Practice address
- 805 FM 1187 E Ste B
Crowley, TX 76036-4300 - Phone
- (817) 888-8131
- Fax
- (817) 928-1666
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 83142 | TX | Primary |
Addresses
Primary practice location
805 FM 1187 E Ste B
Crowley, TX 76036-4300
Mailing address
1434 Park Crest Dr
Crowley, TX 76036-3466
Phone (817) 897-4123
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83142 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Cities Counseling Center, PLLC | Professional | Current | Accepting new patients |
Locations
805 FM 1187 E
Ste B
Crowley, TX 76036
Phone (817) 888-8131
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": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1578218285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 PARK CREST DR",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760363466",
"telephone_number": "817-897-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 FM 1187 E STE B",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760364300",
"telephone_number": "817-888-8131",
"fax_number": "817-928-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "ANGELA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.