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MRS. ANGELA MARIE AVERY LMHC
NPI 1104091925
Counselor - Mental Health in Milton, FL

Active since April 23, 2008Opted out of Medicare · through Feb 5, 2028
308 MERRILL DR, MILTON, FL 32570(850) 773-6276 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Angela Marie Avery Lmhc NPPES

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

MRS. ANGELA MARIE AVERY LMHC (NPI 1104091925) is an individual mental health provider in Milton, Florida, licensed in Florida (MH9279) and active in the NPI registry since April 2008. She has opted out of Medicare through February 5, 2028.

NPPES Registry Identity

NPI1104091925
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ANGELA MARIE AVERYCredential: LMHC
Location Address308 MERRILL DRMilton, FL 32570-4142
Mailing Address308 Merrill DrMilton, FL 32570-4142 · (850) 736-2767
Phone(850) 773-6276
Sole ProprietorYes
Enumeration DateApril 23, 2008
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
✔ NPI 1104091925 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 FL · MH9279
308 MERRILL DR, Milton, FL 32570
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Angela Marie Avery Lmhc 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 5, 2026 through February 5, 2028.

Opt-Out Effective DateFebruary 5, 2026
Opt-Out In Effect ThroughFebruary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Avery's NPI number?

The NPI number for Angela Avery is 1104091925. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Angela Avery located?

Angela Avery practices at 308 Merrill Dr, Milton, FL 32570. The listed phone number is (850) 773-6276.

What is Angela Avery's specialty?

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

Is Angela Avery enrolled in Medicare?

No. Angela Avery has opted out of Medicare through February 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Angela Avery was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.