Individual provider Active NPI

Nina Franco Angeles, LPC, NCC

  • Professional Counselor
  • Annandale, VA
National Provider Identifier
1952864670
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC15068 Issued in DC
Practice address
7719 Killebrew Dr
Annandale, VA 22003-5120
Phone
(202) 415-8063
NPI assigned
Apr 9, 2019
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 PRC15068 DC Primary

Addresses

Primary practice location

7719 Killebrew Dr
Annandale, VA 22003-5120

Mailing address

7719 Killebrew Dr
Annandale, VA 22003-5120
Phone (202) 415-8063

Other practice location 1

10620 Crestwood Dr Ste C
Manassas, VA 20109-4403
Phone (571) 408-8986

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

State licenses

LicenseStateTypeSpecialty
PRC15068DCMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1952864670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 KILLEBREW DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035120",
            "telephone_number": "202-415-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 KILLEBREW DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035120",
            "telephone_number": "202-415-8063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10620 Crestwood Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201094403",
            "country_code": "US",
            "telephone_number": "571-408-8986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "NINA",
        "middle_name": "FRANCO",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-09-13",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.