ANGELA AGUILAR AVERY MA, LLPC, NCC
NPI 1669896213
Counselor - Professional in Clarkston, MI

Active since February 18, 2014Opted out of Medicare · through May 28, 2028
39 S MAIN ST, SUITE 16, CLARKSTON, MI 48346(248) 254-7880 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Aguilar Avery Ma, Llpc, Ncc NPPES

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

ANGELA AGUILAR AVERY MA, LLPC, NCC (NPI 1669896213) is an individual professional provider in Clarkston, Michigan, licensed in Michigan (6401014098) and active in the NPI registry since February 2014. She has opted out of Medicare through May 28, 2028.

NPPES Registry Identity

NPI1669896213
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA AGUILAR AVERYCredential: MA, LLPC, NCC
Location Address39 S MAIN ST, SUITE 16Clarkston, MI 48346-1592
Mailing Address39 S Main St, Suite 16Clarkston, MI 48346-1592 · (248) 254-7880
Sole ProprietorYes
Enumeration DateFebruary 18, 2014
NPI 1669896213 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 MI · 6401014098
39 S MAIN ST, Clarkston, MI 48346

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Angela Aguilar Avery Ma, Llpc, Ncc 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 May 28, 2024 through May 28, 2028.

Opt-Out Effective DateMay 28, 2024
Opt-Out In Effect ThroughMay 28, 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 1669896213. It was assigned to this individual provider in the NPPES registry on February 18, 2014.

Where is Angela Avery located?

Angela Avery practices at 39 S Main St Suite 16, Clarkston, MI 48346. The listed phone number is (248) 254-7880.

What is Angela Avery's specialty?

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

Is Angela Avery enrolled in Medicare?

No. Angela Avery has opted out of Medicare through May 28, 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 February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.