ANGELINE BAUCOM RADT-1 NPI 1497390066

NPI Information

  • NPI: 1497390066
  • Provider Name: ANGELINE BAUCOM, RADT-1
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • Address: 993 POSTAL WAY
    VISTA, CA
    ZIP 92083
  • Phone: (760) 630-9922

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NPI Details

Angeline Baucom, RADT-1 is a marriage family therapist in Vista, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Angeline Baucom, RADT-1 NPI is 1497390066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

993 POSTAL WAY
VISTA, CA
ZIP 92083-945
Phone: (760) 630-9922

The enumeration date for this NPI number is 11/7/2019 and was last updated on 6/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental Health117454CALIFORNIANo
3106H00000XMarriage & Family Therapist117454CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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