Individual provider Active NPI

Angela Grace Allphin, MS, LPC

  • Professional Counselor
  • Fayette, MO
National Provider Identifier
1083126080
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017025526 Issued in MO
Practice address
600 W Morrison St # 39
Fayette, MO 65248-1471
Phone
(660) 537-3537
NPI assigned
Oct 30, 2017
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2017025526 MO Primary

Addresses

Primary practice location

600 W Morrison St # 39
Fayette, MO 65248-1471

Mailing address

600 W Morrison St # 39
Fayette, MO 65248-1471

Other identifiers 1

IdentifierTypeStateIssuer
490058763MedicaidMO

Other names 1

  • Angela Grace Strodtman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL angi@crossroadscounselingllc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531002435 MO Practitioner - Mental Health Counselor 3870935141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Professional Current Accepting new patients

Locations

600 W Morrison St
#39
Fayette, MO 65248
Phone (660) 537-3537

600 W Morrison St
Ste 6
Fayette, MO 65248

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1083126080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W MORRISON ST # 39",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W MORRISON ST # 39",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "652481471",
            "telephone_number": "660-537-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLPHIN",
        "first_name": "ANGELA",
        "middle_name": "GRACE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017025526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490058763",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "angi@crossroadscounselingllc.org",
            "affiliation": "N",
            "address_1": "600 W Morrison St # 39",
            "city": "Fayette",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652481471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "STRODTMAN",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayette, MO

Sources for this page

Verify at the official NPI Registry.