Angelica De Anda, LMHC, CMHS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 60510418 Issued in WA

Practice address

12835 Bel Red Rd
BLDG 100, Ste 145
Bellevue, WA 98005-2631

Phone

(425) 460-7114

Fax

(425) 460-7115

NPI assigned

Jun 28, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Seattle, WA
  • NPI 1114797545
  NPD
• Seattle Neurocounseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kirkland, WA
  • NPI 1437898772
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1598051583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-764-3335",
            "fax_number": "206-764-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 BEL RED RD",
            "address_2": "BLDG 100, STE 145",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052631",
            "telephone_number": "425-460-7114",
            "fax_number": "425-460-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ANDA",
        "first_name": "ANGELICA",
        "credential": "LMHC, CMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60190247",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60510418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amado Daylo, M.D.
• Julian Seth Dayton, PSYD
• Paul Curtis Dayton
• Hasan Dbouk, DDS
• DBT Eastside
• Maria De Costa, LSWAIC
• Jennifer J De Jong, CCC-SLP
• Patricia Maria De la Rivaherrera
• Abraham John De Leon, BS
• Alyzah Anastasia De Lisle-Todd

• Mental Health Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.