NPIMap

Organization Active NPI

Angels on the Horizon Therapeutic Center, LLC

  • Counselor
  • Killeen, TX
National Provider Identifier
1780067090
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12415 Issued in TX
Legal business name
ANGELS ON THE HORIZON THERAPEUTIC CENTER, LLC
Practice address
3606 Dewitt County CT
Killeen, TX 76549-5575
Phone
(210) 386-8910
NPI assigned
Jul 6, 2015
Last updated
Jul 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Ms. Maryann Bell, LPC
Title
Member/Owner
Phone
(210) 386-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 12415 TX Primary

Addresses

Primary practice location

3606 Dewitt County CT
Killeen, TX 76549-5575

Mailing address

1216 Duncan Rd
Copperas Cove, TX 76522
Phone (210) 386-8910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180503001615 TX Part B Supplier - Clinic/Group Practice 9335403088 Receives reassigned benefits from 17 practitioners
Practice locations: Copperas Cove, TX

National Provider Directory

National Provider Directory

Locations

1216 Duncan Rd
Copperas Cove, TX 76522
Phone (254) 577-4880

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1780067090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 DUNCAN RD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "76522",
            "telephone_number": "210-386-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 DEWITT COUNTY CT",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495575",
            "telephone_number": "210-386-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ON THE HORIZON THERAPEUTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "210-386-8910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "12415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.