Individual provider Active NPI

Angel Marie Thompson, LPC, LCPC

  • Counselor
  • Bowie, MD
National Provider Identifier
1689086456
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PRC14396 Issued in DC
Practice address
1935 Barrington CT
Bowie, MD 20721-2703
Phone
(301) 326-5383
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LC7925 MD
Marriage & Family Therapist 106H00000X
Counselor 101Y00000X PRC14396 DC Primary

Addresses

Primary practice location

1935 Barrington CT
Bowie, MD 20721-2703

Mailing address

1935 Barrington CT
Bowie, MD 20721-2703
Phone (301) 326-5383

Other identifiers 1

IdentifierTypeStateIssuer
85-1009376MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bowie Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240625003064 DC Practitioner - Mental Health Counselor 5395165922 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
An Angel's Touch LLC Counselor CurrentSince Apr 8, 2024 Accepting new patients

Locations

9103 Woodmore Center Dr
Lanham, MD 20706
Phone (202) 710-6880

Organizations & group practices 1

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1689086456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 BARRINGTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212703",
            "telephone_number": "301-326-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BARRINGTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212703",
            "telephone_number": "301-326-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANGEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7925",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DC",
            "license": "PRC14396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85-1009376",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bowie",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bowie",
            "address_1": "1935 Barrington Ct",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207212703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.