Individual provider Active NPI

Angelica Grace Alvarez Titus

  • Professional Counselor
  • Idaho Falls, ID
National Provider Identifier
1669061255
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8331071 Issued in ID
Practice address
2265 W Broadway St
Idaho Falls, ID 83402-2996
Phone
(208) 524-7400
Fax
(208) 524-8004
NPI assigned
Jan 18, 2021
Last updated
Feb 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8331071 ID Primary

Addresses

Primary practice location

2265 W Broadway St
Idaho Falls, ID 83402-2996

Mailing address

2265 W Broadway St
Idaho Falls, ID 83402-2996
Phone (208) 524-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205003586 ID Practitioner - Mental Health Counselor 8325531403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tueller Counseling IncGroup PAC ID 0547585895, 20 clinicians

Practice addresses (Care Compare)

2275 W Broadway St
Suite G
Idaho Falls, ID 83402-2902
Phone (208) 524-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8331071IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tueller Counseling Inc CurrentSince Nov 22, 2025 Accepting new patients
T Help CurrentSince Jan 24, 2021 Accepting new patients

Locations

2265 W Broadway St
Idaho Falls, ID 83402
Phone (208) 524-7400

2275 W Broadway St
Ste G
Idaho Falls, ID 83402
Phone (208) 524-7400

4737 S Afton Pl
#A
Pocatello, ID 83202
Phone (208) 251-4951

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.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1669061255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 W BROADWAY ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022996",
            "telephone_number": "208-524-7400",
            "fax_number": "208-524-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 W BROADWAY ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022996",
            "telephone_number": "208-524-7400",
            "fax_number": "208-524-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ TITUS",
        "first_name": "ANGELICA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8331071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.