Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Marie Tayson, MA, LPC

Individual provider Professional Counselor · NPI 1477908465

Angela Marie Tayson, MA, LPC is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2018, 8 years ago. Licensed in Wisconsin and Wyoming.

Years since qualifying
8
Licensed in
WI, WY
In the registry since
2016
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1056 Alpine Dr
Green Bay, WI 54311-5400
Phone: (231) 420-6707
Fax: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10336-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence PPC-1114 (WY)
Professional Counselor Taxonomy 101YP2500X · Licence LPC-2028 (WY)

Record details

NPI number1477908465
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedApril 27, 2016
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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