Active NPI
Angelina Wilson, LPC
- Mental Health Counselor
- Savannah, GA
National Provider Identifier
1881561546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC016106
- Practice address
- 2324 E 41St St
Savannah, GA 31404-3812 - Phone
- (912) 996-0717
- NPI assigned
- Oct 18, 2025
- Last updated
- Oct 18, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC016106 | GA | Primary |
Addresses
Primary practice location
2324 E 41St St
Savannah, GA 31404-3812
Mailing address
2324 E 41St St
Savannah, GA 31404-3812
Phone (912) 996-0717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC016106 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760745600000",
"number": "1881561546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 E 41ST ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314043812",
"telephone_number": "912-996-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 E 41ST ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314043812",
"telephone_number": "912-996-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ANGELINA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-18",
"last_updated": "2025-10-18",
"certification_date": "2025-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC016106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Patirica A Willmann, MS RPH BCOP
- Wilmington Health Center, Inc.
- Wilmington Healthcare and Rehabilitation Center LLC
- Wilmington Island Family Dental LLC
- Lashonda Wilson-Mitchell, LPN
- Anna Rebecca Wilson, MD
- Antionette C Wilson, DDS
- Ashley Ritter Wilson, ANP
- Brooklyn Dallas Wilson, NP
- Candace L Wilson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.