Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA SHERIDAN COUNSELOR
NPI 1336816164
Counselor - Professional in Albuquerque, NM

Q: What is Angela Sheridan's NPI number?

The NPI number for Angela Sheridan is 1336816164. It was assigned to this individual provider in the NPPES registry on August 28, 2021.

Q: What is Angela Sheridan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Angela Sheridan was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since August 28, 2021PECOS Enrolled

12836 LOMAS BLVD NE STE C, ALBUQUERQUE, NM 87112(505) 595-7149 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2026, Apr 12, 2024, Dec 10, 2021 and 3 more (6 updates tracked since 2021).

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About Angela Sheridan Counselor NPPES

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

ANGELA SHERIDAN COUNSELOR (NPI 1336816164) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-2026-0156) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336816164

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANGELA SHERIDANCredential: COUNSELOR

Location Address12836 LOMAS BLVD NE STE CAlbuquerque, NM 87112-6200

Mailing Address12836 Lomas Blvd Ne Ste CAlbuquerque, NM 87112-6200 · (505) 595-7149

Phone(505) 595-7149

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 28, 2021

Last NPPES UpdateAugust 17, 20266 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1336816164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NM · CTB-2026-0156

12836 LOMAS BLVD NE STE C, Albuquerque, NM 87112

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Secondary Practice Location 1

Location 1500 Marquette Ave NW Ste 1200Albuquerque, NM 87102-5312 · Phone (505) 218-7050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Sheridan Counselor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648748509

PECOS Enrollment IDI20260508001344

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

ALEAH A MONTANO LMHC

Counselor (Mental Health)