Individual provider Active NPI

Angelica Tyree

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1780227165
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6330 N Center Dr Ste 200
Norfolk, VA 23502-4008
Phone
(757) 233-0003
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

6330 N Center Dr Ste 200
Norfolk, VA 23502-4008

Mailing address

208 Thoroughbred LN Apt 101
Chesapeake, VA 23320-3062
Phone (804) 943-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240925004630 DC Practitioner - Mental Health Counselor 7719428028 Reassigns benefits to 1 organization
I20241002000408 VA Practitioner - Mental Health Counselor 7719428028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493

2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Phone (703) 841-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC CurrentSince Aug 26, 2024 Accepting new patients

Locations

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1780227165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 THOROUGHBRED LN APT 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203062",
            "telephone_number": "804-943-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 N CENTER DR STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024008",
            "telephone_number": "757-233-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYREE",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.