Active NPI
Angela Marie Combs, MS
- Clinical Psychologist
- Lexington, KY
National Provider Identifier
1700282845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0118
- Practice address
- 245 Fountain CT
Suite 225
Lexington, KY 40509-1888 - Phone
- (859) 257-9330
- NPI assigned
- Nov 18, 2014
- Last updated
- Dec 31, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0118 | KY | Primary |
Addresses
Primary practice location
245 Fountain CT
Suite 225
Lexington, KY 40509-1888
Mailing address
245 Fountain CT
Suite 225
Lexington, KY 40509-1888
Phone (859) 257-9330
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0118 | KY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1700282845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 FOUNTAIN CT",
"address_2": "SUITE 225",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091888",
"telephone_number": "859-257-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 FOUNTAIN CT",
"address_2": "SUITE 225",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091888",
"telephone_number": "859-257-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "0118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.