Individual provider Active NPI

Angela M Maren, LMFT

  • Marriage & Family Therapist
  • Henderson, KY
National Provider Identifier
1669617544
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
104326 Issued in KY
Practice address
110 N Water St Ste B
Henderson, KY 42420-3142
Phone
(270) 688-8449
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 104326 KY Primary

Addresses

Primary practice location

110 N Water St Ste B
Henderson, KY 42420-3142

Mailing address

2605 New Hartford Rd
Owensboro, KY 42303-1316
Phone (270) 688-8449

Other practice location 1

2605 New Hartford Rd
Owensboro, KY 42303-1316
Phone (270) 688-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240514002277 KY Practitioner - Marriage and Family Therapist 9234570821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ack Healthcare Management LLCGroup PAC ID 3072736602, 9 clinicians
Ak Healthcare Management Inc.Group PAC ID 7618015421, 6 clinicians

Practice addresses (Care Compare)

185 Ky
Suite 271
Lewisport, KY 42351
Phone (270) 295-3890

3600 Frederica St
Suite Aandb
Owensboro, KY 42301-6981
Phone (270) 684-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104326KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ack Healthcare Management LLC CurrentSince Feb 26, 2024 Accepting new patients
Theratree, LLC. Marriage & Family Therapist CurrentSince Mar 6, 2022 Accepting new patients
Ack Healthcare Management, LLC CurrentSince Feb 26, 2024 Accepting new patients
Ak Healthcare Management Inc Marriage & Family Therapist CurrentSince Feb 26, 2024 Accepting new patients
Ack Healthcare Management LLC Past Accepting new patients
Ack Healthcare Management LLC Past Accepting new patients

Locations

83 Ballpark Rd
Hardinsburg, KY 40143
Phone (270) 580-4778

110 N Water St
#B
Henderson, KY 42420
Phone (270) 688-8449

312 N Main St
Leitchfield, KY 42754
Phone (270) 287-0087

185 State Route 271 S
Lewisport, KY 42351
Phone (270) 295-9991

1116 S Main St
Ste 5A
Morgantown, KY 42261
Phone (270) 274-9221

3600 Frederica St
Ste Ab
Owensboro, KY 42301
Phone (270) 684-0023

2605 New Hartford Rd
Owensboro, KY 42303
Phone (270) 688-8449

3600 Frederica St
Ste B
Owensboro, KY 42301
Phone (270) 684-0023

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1669617544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "270-688-8449",
            "fax_number": "270-240-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N WATER ST STE B",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203142",
            "telephone_number": "270-688-8449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 New Hartford Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031316",
            "country_code": "US",
            "telephone_number": "270-688-8449",
            "fax_number": "270-240-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAREN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "104326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.