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Deactivated NPI 1255783155 Deactivated / Inactive NPI Female Practitioner

Angela Carr

Counselor • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Angela Carr has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2016
NPI Deactivation Date March 18, 2019
Total Practice Duration ~3 Years of Practice (2016 – 2019)

Professional Overview & Biography Verified Profile Summary

Angela Carr was a registered Counselor practicing in Riverside, CA. Throughout an active medical career spanning 3 years, Angela Carr provided care at the practice location at 1021 W LA CADENA DR until profile deactivation on 2019-03-18.

Practice Location & Contact Primary Location

Practice Address

1021 W La Cadena Dr

Riverside, CA 925011413

Telephone 9517848010
Fax 9517842859
Associated Practice Facility / Clinic
🏢 Wchs Inc Facility NPI 1194735829

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
234 Specialists

Practicing in Riverside, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Samantha Fetterleigh

Licensed Vocational Nurse

NPI 1013286608
Melissa Vega , CMA

Student in an Organized Health Care Education/Training Program

NPI 1013789833
Henry Gonzalez , RAS

Counselor - Addiction (Substance Use Disorder)

NPI 1043400591
Michael Aviles

Counselor - Addiction (Substance Use Disorder)

NPI 1043973316
Amanda Hernandez , RADT #R1444130921

Counselor - Addiction (Substance Use Disorder)

NPI 1053006478

RADT#R1444130921

Mayra Navarro

Licensed Vocational Nurse

NPI 1073078812

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 18, 2019

Record deactivated on March 18, 2019

NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 05, 2016

Registered at 1021 W LA CADENA DR, RIVERSIDE, CA 925011413 (Tel: 9517848010)

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Updated Business Mailing Address July 05, 2016

Registered at 1021 W LA CADENA DR, RIVERSIDE, CA 925011413 (Tel: 9517848010)

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Provider Name / Credentials Updated July 05, 2016

Recorded as ANGELA CARR

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Counselor

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Initial NPI Registration & Enumeration July 05, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255783155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2016
Last Update: July 05, 2016
Deactivation Date: March 18, 2019

Mailing Address

1021 W La Cadena Dr

Riverside, CA 925011413

Phone: 9517848010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.