ANGELA PERGOLA LPC
NPI 1063815520
Counselor - Mental Health in Phoenix, AZ

Active since September 29, 2014Opted out of Medicare · through Feb 22, 2027
4414 N 19TH AVE, PHOENIX, AZ 85015(160) 228-5550(602) 285-5551 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Pergola Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA PERGOLA LPC (NPI 1063815520) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC15331) and active in the NPI registry since September 2014. She has opted out of Medicare through February 22, 2027.

NPPES Registry Identity

NPI1063815520
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA PERGOLACredential: LPC
Location Address4414 N 19TH AVEPhoenix, AZ 85015-4114
Mailing Address4414 N 19th AvePhoenix, AZ 85015-4114
Fax(602) 285-5551
Sole ProprietorNo
Enumeration DateSeptember 29, 2014
NPI 1063815520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LPC15331
4414 N 19TH AVE, Phoenix, AZ 85015

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Angela Pergola Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2025 through February 22, 2027.

Opt-Out Effective DateFebruary 22, 2025
Opt-Out In Effect ThroughFebruary 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4414 N 19TH AVE
PHOENIX, AZ 85015
Social Worker
4414 N 19TH AVE
PHOENIX, AZ 85015
Community/Behavioral Health
4414 N 19TH AVE
PHOENIX, AZ 85015
Community/Behavioral Health
4414 N 19TH AVE
PHOENIX, AZ 85015
Community/Behavioral Health
4414 N 19TH AVE
PHOENIX, AZ 85015
Counselor
4414 N 19TH AVE
PHOENIX, AZ 85015
Counselor (Mental Health)
4414 N 19TH AVE
PHOENIX, AZ 85015
Social Worker (Clinical)
4414 N 19TH AVE
PHOENIX, AZ 85015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Pergola's NPI number?

The NPI number for Angela Pergola is 1063815520. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Angela Pergola located?

Angela Pergola practices at 4414 N 19th Ave, Phoenix, AZ 85015. The listed phone number is (160) 228-5550.

What is Angela Pergola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Angela Pergola enrolled in Medicare?

No. Angela Pergola has opted out of Medicare through February 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Angela Pergola accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Angela Pergola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Pergola was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.