MS. ANGELA RENEE GAUTIER (NPI# 1285795039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285795039 |
| Entity Type | Individual |
| Full Name | MS. ANGELA RENEE GAUTIER |
| Credential | MS LMHC |
| Practice Address |
5 Middlesex Ave Suite 11 Wilmington MA 01887-2773 |
| Practice Telephone | 9786859889 |
| Practice Fax Number | 9786855695 |
| Mailing Telephone | 9786859889 |
| Mailing Fax Number | 9786855695 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6152 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 703136 | 05 | |
| MA | MBHP | 1303287 | 01 |
| MA | BMC | NP01332 | 01 |
| MA | TAX ID | 042611055 | 01 |
| MA | 1303287 | 05 | |
| MA | BC BC | M18633 | 01 |
| Street Address |
5 MIDDLESEX AVE SUITE 11 |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174588412 | Valerie Selfridge Mackenzie | Social Worker | 5 Middlesex Ave, Suite 11 Wilmington Family Counseling Service Inc, Wilmington, MA 01887 | 2006-04-19 |
| 1073123626 | Yveline Simon | Social Worker | 5 Middlesex Ave, Wilmington, MA 01887-2773 | 2020-08-07 |
| 1851892491 | Laura Thibeault | Social Worker | 5 Middlesex Ave, Wilmington, MA 01887-2773 | 2018-02-27 |
| 1104291780 | Brenda Homefield-rosenzweig | Social Worker | 5 Middlesex Ave, Suite 11, Wilmington, MA 01887-2773 | 2015-12-07 |
| 1518337161 | Sheri Lanzarone | Counselor | 5 Middlesex Ave, Wilmington, MA 01887-2773 | 2015-09-25 |
| 1619351079 | Sarah Franz | Counselor | 5 Middlesex Ave, Wilmington, MA 01887-2773 | 2015-07-16 |
| 1669808127 | Maureen Reynolds | Counselor | 5 Middlesex Ave, Suite 11, Wilmington, MA 01887-2773 | 2013-09-16 |
| 1982037990 | Tracey Marrigan | Counselor | 5 Middlesex Ave, Wilmington, MA 01887-2773 | 2013-08-13 |
| 1295175727 | Michelle Alves | Social Worker | 5 Middlesex Ave, Wilmington, MA 01887-2773 | 2013-06-28 |
| 1811229842 | Sarah D Mckenzie | Counselor | 5 Middlesex Ave, Wilmington, MA 01887-2773 | 2010-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656172 | Jennifer Hickman Grimm | Counselor | 1014 Steeplechase Rd, Wilmington, NC 28412-7206 | 2020-10-14 |
| 1821696717 | Tessa Jane Bolz | Counselor | 2426 Monroe St, Wilmington, NC 28401-7026 | 2020-10-13 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1134746399 | Heather Nicole Freeman | Counselor | 771 Bonaire Rd, Wilmington, NC 28412-3282 | 2020-07-02 |
| 1497393441 | Julie Elaine Campana | Counselor | 501 Silverside Rd Ste 50, Wilmington, DE 19809-1388 | 2019-12-19 |
| 1205473360 | Keonna M Freeman | Counselor | 5700 Kirkwood Hwy Ste 204, Wilmington, DE 19808-4884 | 2019-12-06 |
| 1699311381 | Rebecca L Dries | Counselor | 1201 W 7th St Apt 3, Wilmington, DE 19805-3258 | 2019-11-18 |
| 1811532286 | Carolyn Elizabeth Lehman | Counselor | 815 N Harrison St, Wilmington, DE 19806-4628 | 2019-11-09 |
| 1639713183 | Richard Luke Loveless Jr. | Counselor | 3719 Washington Ave, Wilmington, DE 19808-6034 | 2019-10-28 |
| 1396388153 | Jennifer Cook | Counselor | 5710 Oleander Dr Ste 112, Wilmington, NC 28403-4722 | 2019-10-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
Please comment or provide details below to improve the information on MS. ANGELA RENEE GAUTIER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.