Active NPI
Angelique Summerset, LPC ASSOCIATE
- Professional Counselor
- Austin, TX
National Provider Identifier
1841877818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- TX95039
- Practice address
- 313 E Anderson LN Ste 120
Austin, TX 78752-1236 - Phone
- (904) 859-5335
- NPI assigned
- Mar 25, 2021
- Last updated
- May 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | TX95039 | TX | Primary |
Addresses
Primary practice location
313 E Anderson LN Ste 120
Austin, TX 78752-1236
Mailing address
14200 The Lakes Blvd Apt 231
Pflugerville, TX 78660-3779
Phone (904) 859-5335
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 |
|---|---|---|---|
| TX95039 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1841877818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14200 THE LAKES BLVD APT 231",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603779",
"telephone_number": "904-859-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E ANDERSON LN STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521236",
"telephone_number": "904-859-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERSET",
"first_name": "ANGELIQUE",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2024-05-28",
"certification_date": "2024-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "TX95039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.