Angie Chini

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC007812 Issued in GA

Practice address

314 Tribble Gap Rd Ste B
Cumming, GA 30040-2475

Phone

(770) 615-6115

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Oct 11, 2024 through Oct 11, 2026

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.

• Path to Change, LLC

  • Professional Counselor
  • Cumming, GA
  • NPI 1467987883
  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1790403459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 TRIBBLE GAP RD STE B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402475",
            "telephone_number": "770-615-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 TRIBBLE GAP RD STE B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402475",
            "telephone_number": "770-615-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINI",
        "first_name": "ANGIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child and Family Focus
• Children and Teen Dental Group
• Childrens Dentistry of Cumming
• William Childs, D.O.
• Emily Chin
• Chiropractic Specialties Inc
• Sarah Chism
• Holly Kathryne Chitwood, RPH
• CHMG of Atlanta, LLC (Centerwell Home Health)
• Angelina Cho, PHARMD

• Mental Health Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.