Active NPI
Angela Marie Wade, ALC
- Counselor
- Fort Payne, AL
National Provider Identifier
1649997396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 822268
- Practice address
- 215 Grand Ave SW
Fort Payne, AL 35967-1917 - Phone
- (256) 509-0504
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 822268 | AL | Primary |
Addresses
Primary practice location
215 Grand Ave SW
Fort Payne, AL 35967-1917
Mailing address
215 Grand Ave SW
Fort Payne, AL 35967-1917
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 |
|---|---|---|---|
| 822268 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1649997396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 GRAND AVE SW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359671917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 GRAND AVE SW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359671917",
"telephone_number": "256-509-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "AL",
"license": "822268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.