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MRS. ANGELLICIA VANESSA D'ANJOU LIAC
NPI 1750259453
Counselor - Addiction (Substance Use Disorder) in Goodyear, AZ

Active since October 25, 2025PECOS Enrolled
15679 W MONTECITO AVE, GOODYEAR, AZ 85395(623) 337-6274 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Angellicia Vanessa D'anjou Liac NPPES

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

MRS. ANGELLICIA VANESSA D'ANJOU LIAC (NPI 1750259453) is an individual addiction (substance use disorder) provider in Goodyear, Arizona, licensed in Arizona (LIAC-155378) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750259453
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. ANGELLICIA VANESSA D'ANJOUCredential: LIAC
Location Address15679 W MONTECITO AVEGoodyear, AZ 85395-7786
Mailing Address15679 W Montecito AveGoodyear, AZ 85395-7786 · (623) 337-6760
Phone(623) 337-6274
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 25, 2025
NPPES CertifiedOctober 25, 2025
✔ NPI 1750259453 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 AZ · LIAC-155378
15679 W MONTECITO AVE, Goodyear, AZ 85395
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Angellicia Vanessa D'anjou Liac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618449661
PECOS Enrollment IDI20260610004735
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 Reassignment

Medicare enrollment records show Angellicia D'anjou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Behavioral Health
15 mi
Community Based Residential Treatment Facility, Mental Illness
2042 N 35TH AVE
Phoenix, AZ 85009
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Southwest Behavioral Health Services Inc
  • 137 clinicians in this Medicare group
NPI 1376550343 (602) 272-5250

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

Other Providers at the Same Location NPPES

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

MY THERAPY HEALTH LLC
Counselor (Mental Health)
15679 W MONTECITO AVE
GOODYEAR, AZ 85395
Maricopa County (623) 337-6274

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 Angellicia D'anjou's NPI number?

The NPI number for Angellicia D'anjou is 1750259453. It was assigned to this individual provider in the NPPES registry on October 25, 2025.

Where is Angellicia D'anjou located?

Angellicia D'anjou practices at 15679 W Montecito Ave, Goodyear, AZ 85395. The listed phone number is (623) 337-6274.

What is Angellicia D'anjou's specialty?

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

Is Angellicia D'anjou enrolled in Medicare?

Yes. Angellicia D'anjou is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angellicia D'anjou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angellicia D'anjou reassigns Medicare benefits to Southwest Behavioral Health (Phoenix, AZ). The 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 Angellicia D'anjou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angellicia D'anjou accept?

Health plans from Oscar Health Plan, Inc. list Angellicia D'anjou 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 Angellicia D'anjou was last updated on October 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.