Angie L Nelson-Gates, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006919 Issued in MI

Practice address

25 Centennial Ave NW
Grand Rapids, MI 49504-5921

Phone

(612) 251-7551

NPI assigned

May 13, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1649892548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CENTENNIAL AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49504",
            "telephone_number": "612-251-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CENTENNIAL AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045921",
            "telephone_number": "612-251-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-GATES",
        "first_name": "ANGIE",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1685",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angie@angtherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "512 1st Street Unit 101",
            "city": "Indian Rocks Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Logan M Neil, DPT
• Chia-Hui Neilly, DNP, FNP-BC,PMHNP-BC
• Amy M Neitzel, PT
• Kristin M Nelsen, M.D.
• Courtney Lynn Nelson-Arnett, CO
• Britney Nelson
• Carolyn Rose Nelson, LPN
• Eric Richard Nelson, PA-C
• Gilbert Christian Nelson, DO
• Hannah Nelson, LMSW

• Marriage & Family Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.