Active NPI
Angels on the Horizon Therapeutic Center, LLC
- Counselor
- Killeen, TX
National Provider Identifier
1780067090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12415
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Killeen, TX
- NPI 1306366539
TX
-
- Psychiatric/Mental Health Nurse Practitioner
- Copperas Cove, TX
- NPI 1922643212
TX
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": "193400000X SINGLE SPECIALTY 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.