Individual provider Active NPI

Cathy Marie Angi, MFT

  • Marriage & Family Therapist
  • South Lake Tahoe, CA
National Provider Identifier
1801015359
Registry record updated Dec 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39446 Issued in CA
Practice address
1021 Fremont Ave
South Lake Tahoe, CA 96150-8136
Phone
(530) 919-8144
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39446 CA Primary

Addresses

Primary practice location

1021 Fremont Ave
South Lake Tahoe, CA 96150-8136

Mailing address

1021 Fremont Ave
South Lake Tahoe, CA 96150-8136
Phone (530) 919-8144

Other identifiers 1

IdentifierTypeStateIssuer
MFC39446OtherCAMARRIAGE AND FAMILY THERA

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
MFC39446CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388275200000",
    "number": "1801015359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 FREMONT AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508136",
            "telephone_number": "530-919-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 FREMONT AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508136",
            "telephone_number": "530-919-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGI",
        "first_name": "CATHY",
        "middle_name": "MARIE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERA",
            "identifier": "MFC39446",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2013; 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.