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ANGELLEE KIDD SUD COUNSELOR
NPI 1619842853
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since October 07, 2025
4920 AVALON BLVD, LOS ANGELES, CA 90011(323) 638-5071 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angellee Kidd Sud Counselor NPPES

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

ANGELLEE KIDD SUD COUNSELOR (NPI 1619842853) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in California (R1620500725) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1619842853
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANGELLEE KIDDCredential: SUD COUNSELOR
Location Address4920 AVALON BLVDLos Angeles, CA 90011-4004
Mailing Address4920 Avalon BlvdLos Angeles, CA 90011-4004 · (323) 638-5071
Phone(323) 638-5071
Sole ProprietorYes
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1619842853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1620500725
4920 AVALON BLVD, Los Angeles, CA 90011
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MS. ZANDRA L. ELLIS
Marriage & Family Therapist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
KAYLYNN PATEL
Student in an Organized Health Care Education/Training Program
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
KEMIT B JOHNSON
Peer Specialist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 214-6008
MRS. PATRICIA ANN WILLIAMS
Marriage & Family Therapist
4920 AVALON BLVD, BAART
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
ANDREA SPILLING
Marriage & Family Therapist
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
ERICA NUNEZ
Counselor (Addiction (Substance Use Disorder))
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
MR. LOUIE JOSEPH DE LA CRUZ
Counselor (Addiction (Substance Use Disorder))
4920 AVALON BLVD, BAART CLINIC
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035
SHERIE HOWARD
Case Management
4920 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 235-5035

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 Angellee Kidd's NPI number?

The NPI number for Angellee Kidd is 1619842853. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Angellee Kidd located?

Angellee Kidd practices at 4920 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 638-5071.

What is Angellee Kidd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Angellee Kidd was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.