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ANGELA MARIE TAYSON MA, LPC
NPI 1477908465
Counselor - Professional in Green Bay, WI

Active since April 27, 2016PECOS Enrolled
1056 ALPINE DR, GREEN BAY, WI 54311(231) 420-6707(000) 000-0000 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 6, 2024, May 5, 2022, Nov 18, 2021 and 1 more (4 updates tracked since 2017).

About Angela Marie Tayson Ma, Lpc NPPES

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

ANGELA MARIE TAYSON MA, LPC (NPI 1477908465) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (10336-125) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477908465
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA MARIE TAYSONCredential: MA, LPC
Location Address1056 ALPINE DRGreen Bay, WI 54311-5400
Mailing Address1056 Alpine DrGreen Bay, WI 54311-5400 · (231) 420-6707 · Fax (000) 000-0000
Phone(231) 420-6707
Fax(000) 000-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 27, 2016
Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1477908465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 10336-125✔ Licensed in WY · PPC-1114✔ Licensed in WY · LPC-2028
1056 ALPINE DR, Green Bay, WI 54311
Open in Google Maps ↗

Other Names 1

Former Name (1)Angela Marie Vallance Ma, Ppc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Marie Tayson Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830535269
PECOS Enrollment IDI20251113001407
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Angela Tayson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hope And Healing Counseling, LLC
886 mi
Mental Health (Including Community Mental Health Center)
1217 S GREELEY HWY STE B
Cheyenne, WY 82007
  • Reassigned Medicare billing, Wyoming enrollment
  • 3 clinicians in this Medicare group
NPI 1801533013 (307) 202-4005
Grow Healthcare Group PA
1,361 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota, Missouri, Wisconsin and Wyoming enrollments
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tayson's NPI number?

The NPI number for Angela Tayson is 1477908465. It was assigned to this individual provider in the NPPES registry on April 27, 2016. The provider is also known as Angela Marie Vallance Ma, Ppc.

Where is Angela Tayson located?

Angela Tayson practices at 1056 Alpine Dr, Green Bay, WI 54311. The listed phone number is (231) 420-6707.

What is Angela Tayson's specialty?

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

Is Angela Tayson enrolled in Medicare?

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

Which organizations bill Medicare for Angela Tayson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Tayson reassigns Medicare benefits to 2 organizations: Hope And Healing Counseling, LLC (Cheyenne, WY) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Tayson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Tayson accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Angela Tayson 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 Tayson was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.