Individual provider Active NPI

Debra Ann Angeloni-Reilly

  • Mental Health Counselor
  • Newburyport, MA
National Provider Identifier
1902523152
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8 Prince PL
Newburyport, MA 01950-2612
Phone
(978) 255-3101
NPI assigned
Oct 27, 2022
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

8 Prince PL
Newburyport, MA 01950-2612

Mailing address

8 Prince PL
Newburyport, MA 01950-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112000792 MA Practitioner - Mental Health Counselor 1456842087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blu Sage Counseling Services, LLCGroup PAC ID 5991203507, 2 clinicians

Practice addresses (Care Compare)

4 Water St
Suite 4
Amesbury, MA 01913-2937
Phone (617) 970-8161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Wellness, LLC CurrentSince Apr 6, 2025 Accepting new patients
Blu Sage Counseling Services, LLC CurrentSince Oct 29, 2025 Accepting new patients

Locations

4 Water St
Ste 4
Amesbury, MA 01913
Phone (617) 970-8161

8 Prince Pl
Newburyport, MA 01950
Phone (617) 410-8034

Organizations & group practices 2

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": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1902523152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PRINCE PL",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PRINCE PL",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502612",
            "telephone_number": "978-255-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELONI-REILLY",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.