Individual provider Active NPI

Angela Marie Moe, MA, LPC

  • Professional Counselor
  • Zeeland, MI
National Provider Identifier
1245914845
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401225955 Issued in MI
Practice address
201 W Washington Ave Ste 280
Zeeland, MI 49464-1074
Phone
(616) 259-5452
Fax
(616) 236-0875
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 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 6401225955 MI Primary

Addresses

Primary practice location

201 W Washington Ave Ste 280
Zeeland, MI 49464-1074

Mailing address

201 W Washington Ave Ste 280
Zeeland, MI 49464-1074
Phone (616) 259-5452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260402001882 MI Practitioner - Other (Non-Physician) 2567947989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1446 Craig Way
Hudsonville, MI 49426-8716

201 W Washington Ave
Suite 280
Zeeland, MI 49464-1074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401225955MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Second Story Counseling II LLC Professional CurrentSince Jun 18, 2023 Accepting new patients
Headwaters Counseling, LLC CurrentSince Mar 10, 2026 Accepting new patients

Locations

3424 Chicago Dr
Ste 205
Hudsonville, MI 49426
Phone (616) 426-9034

201 W Washington Ave
Ste 280
Zeeland, MI 49464
Phone (616) 259-5452

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1245914845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W WASHINGTON AVE STE 280",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641074",
            "telephone_number": "616-259-5452",
            "fax_number": "616-236-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W WASHINGTON AVE STE 280",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641074",
            "telephone_number": "616-259-5452",
            "fax_number": "616-236-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401225955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.