Individual provider Active NPI

Angela D Humphrey, LMHC

  • Mental Health Counselor
  • Hartford City, IN
National Provider Identifier
1184494346
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005661A Issued in IN
Practice address
118 E Washington St
Hartford City, IN 47348-2210
Phone
(765) 348-1303
NPI assigned
Jan 8, 2024
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39005661A IN Primary

Addresses

Primary practice location

118 E Washington St
Hartford City, IN 47348-2210

Mailing address

505 N Wabash Ave
Marion, IN 46952-2608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250927000407 IN Practitioner - Mental Health Counselor 0941705073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

410 Pilgrim Blvd
Suite 100
Hartford City, IN 47348-1382
Phone (765) 668-6713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grant-Blackford Mental Health, Inc. Current Accepting new patients
Grant-Blackford Mental Health, Inc. CurrentSince Sep 16, 2025 Accepting new patients

Locations

410 Pilgrim Blvd
Ste 100
Hartford City, IN 47348
Phone (765) 348-1303

505 N Wabash Ave
Marion, IN 46952
Phone (765) 662-3971

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1184494346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E WASHINGTON ST",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473482210",
            "telephone_number": "765-348-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005661A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford City, IN

Sources for this page

Verify at the official NPI Registry.