Angela Sue Hample

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

096220 Issued in IA

Practice address

1812 24TH Ave W
Spencer, IA 51301-2661

Phone

(712) 580-3030

Fax

(712) 580-3040

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Sue Lange Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Family Access Center, Inc.

  • Community/Behavioral Health Agency
  • Sioux City, IA
  • NPI 1033280326
  Medicare reassignment

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1306490743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051418",
            "telephone_number": "712-255-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 24TH AVE W",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012661",
            "telephone_number": "712-580-3030",
            "fax_number": "712-580-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Pierce St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511051418",
            "country_code": "US",
            "telephone_number": "712-255-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMPLE",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "096220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LANGE",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda S Grohe, PH.D
• Emily A Gross, AU.D.
• Sean Guthmiller, LMSW
• John Anthon Haak, CRNA, ARNP
• Shanee Haberman, DDS
• Patricia J Hansen, RN
• Peyton Hantelman, ARNP-FNP
• Katlin Rose Harm, PT, DPT
• Lindsay Kristina Harms, PMHNP-BC
• Jean Paul Haulard, D.P.M.

• Mental Health Counselor in Spencer, IA
• Providers in Spencer, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.