Individual provider Active NPI

Angela Lorin Tallo, M. ED, NCC, LPCS

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1932456894
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63362 Issued in TX
Practice address
920 Frostwood Dr
Suite 670
Houston, TX 77024-2314
Phone
(281) 917-1667
NPI assigned
Aug 10, 2012
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63362 TX Primary

Addresses

Primary practice location

920 Frostwood Dr
Suite 670
Houston, TX 77024-2314

Mailing address

920 Frostwood Dr
Suite 670
Houston, TX 77024-2314
Phone (281) 917-1667

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
63362TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavior Center, LLC Current Accepting new patients

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1932456894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR",
            "address_2": "SUITE 670",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242314",
            "telephone_number": "281-917-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR",
            "address_2": "SUITE 670",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242314",
            "telephone_number": "281-917-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLO",
        "first_name": "ANGELA",
        "middle_name": "LORIN",
        "credential": "M. ED, NCC, LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.