ANGELA PRINCESS WILSON NPI 1659032191

NPI Information

NPI: 1659032191
Provider Name: ANGELA PRINCESS WILSON
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
791 CHAMBERS RD
AURORA, CO
ZIP 80011
Phone: (303) 617-2300
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Angela Princess Wilson is a peer specialist in Aurora, CO. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Angela Princess Wilson NPI is 1659032191. 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:

791 CHAMBERS RD
AURORA, CO
ZIP 80011-112
Phone: (303) 617-2300

The enumeration date for this NPI number is 1/6/2022 and was last updated on 1/13/2022.

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
1	101YM0800X	Counselor	Mental Health		COLORADO	No
2	175T00000X	Peer Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	943461112	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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