Angela Musilla
Individual provider Active NPI Behavior Analyst · Edmond, OK
NPI 1992124192 · NPPES record last updated Apr 15, 2014
Key facts
- NPI
- 1992124192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 101Y00000 (OK)
- Practice address
- 1732 S Kelly Ave
Edmond, OK 73013-3630 - Phone
- (405) 844-8085
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Counseling and Recovery Services of Oklahoma, Inc.
Practice addresses (Care Compare)
1323 E 71St St
Tulsa, OK 74136-5045
Phone 91849225542551
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260121003470 | OK | Practitioner - Mental Health Counselor | 3375020399 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101Y00000 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Recovery Services of Oklahoma, Inc. | Current |
Accepting new patients |
Locations
1323 E 71st St
Tulsa, OK 74136
Phone 91849225542551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 101Y00000 | OK | Yes |
Addresses
Primary practice location
1732 S Kelly Ave
Edmond, OK 73013-3630
Mailing address
805 Douglas Ave
Sand Springs, OK 74063-7419
Phone (918) 815-4195
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.