Individual provider Active NPI

Angelia Rae Mathias, LCPC, LAC

  • Professional Counselor
  • Butte, MT
National Provider Identifier
1295183952
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-46912 Issued in MT
Practice address
119200 Battle Ridge Rd
Butte, MT 59750-9734
Phone
(406) 498-9640
NPI assigned
Jun 2, 2016
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-LAC-LIC-3378 MT
Professional Counselor 101YP2500X CC6870 ME
Professional Counselor 101YP2500X BBH-LCPC-LIC-46912 MT Primary

Addresses

Primary practice location

119200 Battle Ridge Rd
Butte, MT 59750-9734

Mailing address

664 S Dakota St
Butte, MT 59701-2526
Phone (406) 498-9640

Other names 1

  • Angelia R Cantwell 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-LAC-LIC-3378MTMDAddiction (Substance Use Disorder) Counselor
CC6870MEMDProfessional Counselor
BBH-LCPC-LIC-46912MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angelia R Mathias LLC Professional CurrentSince Dec 13, 2022 Accepting new patients

Organizations & group practices 1

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1295183952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 S DAKOTA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012526",
            "telephone_number": "406-498-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119200 BATTLE RIDGE RD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597509734",
            "telephone_number": "406-498-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "ANGELIA",
        "middle_name": "RAE",
        "credential": "LCPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-LIC-3378",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6870",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-46912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIA",
            "last_name": "CANTWELL",
            "middle_name": "R",
            "credential": "LCPC, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.