Individual provider Active NPI

Angela L Sine, MSW, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Wichita Falls, TX
National Provider Identifier
1730631615
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO60539865 Issued in WA
Practice address
4532 Wendover St
Wichita Falls, TX 76309-4730
Phone
(734) 417-8589
NPI assigned
Oct 26, 2016
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60539865 WA Primary

Addresses

Primary practice location

4532 Wendover St
Wichita Falls, TX 76309-4730

Mailing address

4532 Wendover St
Wichita Falls, TX 76309-4730
Phone (734) 417-8589

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

LicenseStateTypeSpecialty
CO60539865WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1730631615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 WENDOVER ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094730",
            "telephone_number": "734-417-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 WENDOVER ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094730",
            "telephone_number": "734-417-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINE",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60539865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.