Active NPI
Ariel K Peters-Angelucci, LMSW
- Clinical Social Worker
- Live Oak, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 11901 Toepperwein Rd Ste 1202
Live Oak, TX 78233-3159 - Phone
- (210) 951-3479
- NPI assigned
- Aug 31, 2022
- Last updated
- Nov 19, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 106039 | TX | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11901 Toepperwein Rd Ste 1202
Live Oak, TX 78233-3159
Mailing address
1000 Diamond Dr Apt 801
Boerne, TX 78006-3022
Phone (210) 573-2851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Eddy Psychotherapy Management, LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Deep Centered Psychiatry PLLC | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
1922 Dry Creek Way
Ste 108
San Antonio, TX 78259
Phone (512) 887-3993
Organizations & group practices 3
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.
-
- Counseling Psychologist
- Austin, TX
- NPI 1457740862
-
- Psychiatry Physician
- Austin, TX
- NPI 1629853825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1841910692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 DIAMOND DR APT 801",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063022",
"telephone_number": "210-573-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 TOEPPERWEIN RD STE 1202",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333159",
"telephone_number": "210-951-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS-ANGELUCCI",
"first_name": "ARIEL",
"middle_name": "K",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "106039",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.