Active NPI
Angela Dawn Porath, MS, LMHC, CADC
- Mental Health Counselor
- Des Moines, IA
National Provider Identifier
1144515388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001090
- Practice address
- 600 42ND St
Des Moines, IA 50312-2701 - Phone
- (515) 255-8399
- NPI assigned
- Jun 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001090 | IA | Primary |
Addresses
Primary practice location
600 42ND St
Des Moines, IA 50312-2701
Mailing address
600 42ND St
Des Moines, IA 50312-2701
Phone (515) 255-8399
Other names 1
- Miss Angela Eichenseer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001090 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1144515388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 42ND ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122701",
"telephone_number": "515-255-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 42ND ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122701",
"telephone_number": "515-255-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORATH",
"first_name": "ANGELA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "MS, LMHC, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "EICHENSEER",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.