Angelica Maria Thorne

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW138607 Issued in PA

Practice address

2639 W Oxford St
Philadelphia, PA 19121-2843

Phone

(267) 532-4494

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Mental Health, PA

  Medicare reassignment NPD
• Thorne Counseling and Consulting LLC

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1003741612

  Mental Health

  NPD Authorized official
• Its Mine Movement, Inc

  • Mental Health Counselor
  • Garnet Valley, PA
  • NPI 1922672005

  Mental Health

  NPD
• Queen Mental Health Billing Solutions, LLC

  • Mental Health Counselor
  • Downingtown, PA
  • NPI 1295589554

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1699429464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RED MAPLE RD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199775224",
            "telephone_number": "302-252-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 W OXFORD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212843",
            "telephone_number": "267-532-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW138607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelicat@itsminemovement.org",
            "affiliation": "N",
            "endpointDescription": "Secure Practice Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2639 W Oxford St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191212843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Claire Thor, DO, MAUB
• Jeffrey Daynes Thorley, M.D.
• Alyssa Lynn Thorman, MD
• Sarah Elyse Thornburg, CRNP
• Thorne Counseling and Consulting LLC
• Jaylin Thorne
• Alice H Thornewill, PHD, JD
• Mary Rosalind Thornton-Bowmer, DNP, CRNP, FNP-BC
• Alexa Thornton
• Elizabeth Thornton, CRNP

• All providers in Philadelphia, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.