ANGELICA LUCIA (NPI# 1366817892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366817892 |
| Entity Type | Individual |
| Full Name | ANGELICA LUCIA |
| Other Name | KATIE LUCIA |
| Practice Address |
3716 Ne Mlk Jr Blvd Portland OR 97212-1111 |
| Mailing Address |
17376 Ne Couch St Apt K249 Portland OR 97230-6462 |
| Practice Telephone | 5037463290 |
| Mailing Telephone | 5037463290 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3716 NE MLK JR BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174768865 | Ian Richard Starr | Psychiatry & Neurology | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2008-12-09 |
| 1295239168 | Annemieke Clark | Nurse Practitioner | 3716 Ne Mlk Jr Blvd, Portland, OR 97212 | 2018-03-23 |
| 1275050106 | Amanda Caroline Burt | Case Manager/Care Coordinator | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2017-08-22 |
| 1518409853 | Amelia Anders | Case Manager/Care Coordinator | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2016-11-16 |
| 1316310063 | Jillian Davis | Social Worker | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-11-03 |
| 1164817995 | Maria Therese Bonacci | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-03-30 |
| 1386038875 | Warren Rudd Jr. | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-03-24 |
| 1225420946 | Cherity Whiteaker | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-03-04 |
| 1083006050 | Celess Jollymore | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-02-26 |
| 1467853804 | Kate Nicole Kirkpatrick | Specialist | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| Find all providers in PORTLAND | ||||
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| 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.