ANGELA SHERIDAN COUNSELOR
NPI 1336816164
Counselor in Albuquerque, NM

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: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2024, Dec 10, 2021, Nov 19, 2021 and 2 more (5 updates tracked since 2021).

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 counselor 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 Taxonomy101Y00000X
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
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2021
Last NPPES UpdateFebruary 24, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
NPI 1336816164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NM · CTB-2026-0156
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CTB-2026-0156 (NM)
12836 LOMAS BLVD NE STE C, Albuquerque, NM 87112

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 8

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

Counselor (Mental Health)
12836 LOMAS BLVD NE STE C
ALBUQUERQUE, NM 87112
Counselor (Professional)
12836 LOMAS BLVD NE STE C
ALBUQUERQUE, NM 87112
Social Worker
12836 LOMAS BLVD NE STE C
ALBUQUERQUE, NM 87112
Community/Behavioral Health
12836 LOMAS BLVD NE STE C
ALBUQUERQUE, NM 87112
Counselor (Professional)
12836 LOMAS BLVD NE STE C
ALBUQUERQUE, NM 87112
Social Worker
12836 LOMAS BLVD NE STE C
ALBUQUERQUE, NM 87112
Counselor (Professional)
12836 LOMAS BLVD NE STE C
ALBUQUERQUE, NM 87112
Social Worker
12836 LOMAS BLVD NE STE C
ALBUQUERQUE, NM 87112

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 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.

Where is Angela Sheridan located?

Angela Sheridan practices at 12836 Lomas Blvd NE Ste C, Albuquerque, NM 87112. The listed phone number is (505) 595-7149.

What is Angela Sheridan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Angela Sheridan enrolled in Medicare?

Yes. Angela Sheridan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Sheridan was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.