Individual provider Active NPI

Angella Livingston, MA, LPC

  • Professional Counselor
  • Ruston, LA
National Provider Identifier
1710519418
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5743 Issued in LA
Practice address
206 E Reynolds Dr Ste F2
Ruston, LA 71270-2809
Phone
(318) 224-7223
Fax
(318) 445-1004
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5743 LA
Mental Health Counselor 101YM0800X 5743 LA
Professional Counselor 101YP2500X 5743 LA Primary

Addresses

Primary practice location

206 E Reynolds Dr Ste F2
Ruston, LA 71270-2809

Mailing address

206 E Reynolds Dr Ste F2
Ruston, LA 71270-2809
Phone (318) 224-7203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240131002225 LA Practitioner - Mental Health Counselor 8921451451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5743LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thinktrek LLC Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

3018 Old Minden Rd
Ste 1200
Bossier City, LA 71112
Phone (318) 224-7223

622 Burgessville Rd
Ruston, LA 71270
Phone (318) 224-7223

206 E Reynolds Dr
Ste F2
Ruston, LA 71270
Phone (318) 224-7223

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1710519418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E REYNOLDS DR STE F2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702809",
            "telephone_number": "318-224-7203",
            "fax_number": "318-415-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E REYNOLDS DR STE F2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702809",
            "telephone_number": "318-224-7223",
            "fax_number": "318-445-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "ANGELLA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "5743",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5743",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.