Active NPI
Alandiaz D'Angelo McKinnie, LPC
- Professional Counselor
- Arlington, TX
National Provider Identifier
1831528710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68808
- Practice address
- 3939 W Green Oaks Blvd Ste 214
Arlington, TX 76016-2793 - Phone
- (682) 999-8520
- NPI assigned
- Nov 1, 2013
- Last updated
- Mar 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 68808 | TX | |
| Professional Counselor | 101YP2500X | 68808 | TX | Primary |
Addresses
Primary practice location
3939 W Green Oaks Blvd Ste 214
Arlington, TX 76016-2793
Mailing address
3939 W Green Oaks Blvd Ste 214
Arlington, TX 76016-2793
Phone (668) 299-9852
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
| License | State | Type | Specialty |
|---|---|---|---|
| 68808 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1831528710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 W GREEN OAKS BLVD STE 214",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162793",
"telephone_number": "668-299-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 W GREEN OAKS BLVD STE 214",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162793",
"telephone_number": "682-999-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNIE",
"first_name": "ALANDIAZ",
"middle_name": "D'ANGELO",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-01",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "68808",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.