Individual provider Active NPI

Angela Dawn Anderson, LPCC, CT

  • Professional Counselor
  • Wooster, OH
National Provider Identifier
1134450760
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0800521 Issued in OH
Practice address
4419 Cleveland Rd
Wooster, OH 44691-1233
Phone
(330) 345-8450
Fax
(330) 345-5899
NPI assigned
Jan 21, 2010
Last updated
Nov 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.0800521-TEMP OH
Mental Health Counselor 101YM0800X E.0800521 OH
Professional Counselor 101YP2500X C.0800521-TEMP OH
Professional Counselor 101YP2500X E.0800521 OH Primary

Addresses

Primary practice location

4419 Cleveland Rd
Wooster, OH 44691-1233

Mailing address

4419 Cleveland Rd
Wooster, OH 44691-1233
Phone (330) 345-8450

Other identifiers 1

IdentifierTypeStateIssuer
3065874MedicaidOH

Other names 1

  • Miss Angela Dawn Streb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.0800521-TEMPOHMDProfessional Counselor
E.0800521OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Point Clinical Counseling, LLC Mental Health CurrentSince May 21, 2023 Accepting new patients
Summit Therapy Center LLC PastSince Jul 1, 2008 Accepting new patients

Locations

258 Kurzen Rd N
Ste C
Dalton, OH 44618
Phone (330) 625-8807

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1134450760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911233",
            "telephone_number": "330-345-8450",
            "fax_number": "330-345-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911233",
            "telephone_number": "330-345-8450",
            "fax_number": "330-345-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LPCC, CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0800521-TEMP",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0800521",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0800521-TEMP",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0800521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065874",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "STREB",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.