Active NPI
Angel Warren, LGPC
- Professional Counselor
- Frederick, MD
National Provider Identifier
1710648498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP12235
- Practice address
- 1815 Country Run Way
Frederick, MD 21702-5907 - Phone
- (240) 549-9592
- NPI assigned
- Jan 5, 2022
- Last updated
- Sep 25, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP12235 | MD | Primary |
Addresses
Primary practice location
1815 Country Run Way
Frederick, MD 21702-5907
Mailing address
1815 Country Run Way
Frederick, MD 21702-5907
Phone (240) 549-9592
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP12235 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faithful Journey Counseling | Multi-Specialty | Current | Accepting new patients |
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": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1710648498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 COUNTRY RUN WAY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217025907",
"telephone_number": "240-549-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 COUNTRY RUN WAY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217025907",
"telephone_number": "240-549-9592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ANGEL",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP12235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.