Active NPI
Angela Sedillo, LPC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1952729667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 75796
- Practice address
- 13706 Research Blvd Ste 114
Austin, TX 78750-1838 - Phone
- (575) 635-8316
- NPI assigned
- Mar 31, 2014
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 75796 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 0167801 | NM |
Addresses
Primary practice location
13706 Research Blvd Ste 114
Austin, TX 78750-1838
Mailing address
13706 Research Blvd Ste 114
Austin, TX 78750-1838
Phone (575) 635-8316
Other practice location 1
100 W. Griggs Ave
Las Cruces, NM 88001
Phone (575) 647-2800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0167801 | NM | MD | Mental Health Counselor |
| 75796 | TX | MD | Mental Health Counselor |
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.
-
- Mental Health Counselor
- Austin, TX
- NPI 1962934174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952729667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13706 RESEARCH BLVD STE 114",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501838",
"telephone_number": "575-635-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13706 RESEARCH BLVD STE 114",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501838",
"telephone_number": "575-635-8316"
}
],
"practiceLocations": [
{
"address_1": "100 W. Griggs Ave",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "88001",
"country_code": "US",
"telephone_number": "575-647-2800",
"fax_number": "575-647-2898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEDILLO",
"first_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "75796",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0167801",
"primary": false
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.