Active NPI
Angela Dawn Anderson, LPCC, CT
- Professional Counselor
- Wooster, OH
National Provider Identifier
1134450760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0800521
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3065874 | Medicaid | OH |
Other names 1
- Miss Angela Dawn Streb
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.0800521-TEMP | OH | MD | Professional Counselor |
| E.0800521 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Point Clinical Counseling, LLC | Mental Health | Current | Accepting new patients |
| Summit Therapy Center LLC | Past | 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.
-
- Social Worker
- Wooster, OH
- NPI 1093856494
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.