Angela Dee Conway, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71548 Issued in TX

Practice address

15476 Yarberry Dr
Roanoke, TX 76262-3351

Phone

(901) 283-6872

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Valor Counseling Services LLC

  • Mental Health Counselor
  • Grapevine, TX
  • NPI 1760080048

  Professional

  NPD (past)

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1720618804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15476 YARBERRY DR",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762623351",
            "telephone_number": "901-283-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15476 YARBERRY DR",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762623351",
            "telephone_number": "901-283-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "ANGELA",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.simplepractice.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "99 Trophy Club Dr",
            "city": "Trophy Club",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762625422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Childers, DPM
• Danielle Anna Ciaglia, RN
• City of Roanoke (Roanoke Fire Department)
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• Elizabeth Collins
• Cameron Mackenzie Cooper
• Creative Mind Network LLC (Creative Minds ABA)
• Victoria Criss
• Justin J Crocker, D.S.S.
• Meghan Maria Cromie, LPC

• Professional Counselor in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.