Active NPI
Angella A Earle, LMFTI
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1639442064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- M10554
- Practice address
- 4160 S Pecos Rd Ste 21
Las Vegas, NV 89121-5025 - Phone
- (702) 665-4767
- Fax
- (702) 665-4763
- NPI assigned
- Feb 15, 2012
- Last updated
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M10554 | NV | Primary |
Addresses
Primary practice location
4160 S Pecos Rd Ste 21
Las Vegas, NV 89121-5025
Mailing address
6679 Conquistador St
Las Vegas, NV 89149-1324
Phone (702) 409-6448
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 |
|---|---|---|---|
| M10554 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Personal Care Services LLC | Current | Accepting new patients | |
| Courageous Counseling LLC | Current | Accepting new patients |
Locations
4160 S Pecos Rd
Ste 21
Las Vegas, NV 89121
Phone (702) 409-4668
Organizations & group practices 2
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.
-
dba Angel Personal Care
- Home Health Agency
- Las Vegas, NV
- NPI 1245869411
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1467956888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1639442064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6679 CONQUISTADOR ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891491324",
"telephone_number": "702-409-6448",
"fax_number": "702-665-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 S PECOS RD STE 21",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215025",
"telephone_number": "702-665-4767",
"fax_number": "702-665-4763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLE",
"first_name": "ANGELLA",
"middle_name": "A",
"credential": "LMFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "M10554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.