Individual provider Active NPI

Angela M Fletcher, LCPC

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1336327857
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-10104 Issued in ID
Practice address
1820 E 17TH
Ste 330
Idaho Falls, ID 83404-6400
Phone
(208) 497-0685
Fax
(208) 497-0506
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 LCPC-10104 ID Primary

Addresses

Primary practice location

1820 E 17TH
Ste 330
Idaho Falls, ID 83404-6400

Mailing address

3270 E 17TH St
Idaho Falls, ID 83406-6758
Phone (208) 497-0685

Other practice location 1

3522 Briar Creek Ln
Ammon, ID 83406-4728
Phone (208) 529-1660

Other practice location 2

27261 Las Ramblas
Suite 220
Mission Viejo, CA 92691-6441
Phone (909) 790-1300

Other names 1

  • Angela Marie Neilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: No
  • 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
I20240207004326 ID Practitioner - Mental Health Counselor 7416390323 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashton Memorial, Inc. Mental Health Current Accepting new patients
Ashton Memorial, Inc. CurrentSince Jan 24, 2024 Accepting new patients
Ashton Memorial, Inc. CurrentSince Jan 24, 2024 Accepting new patients
Aspen Mental Health Services, Inc. CurrentSince May 25, 2025 Accepting new patients
Best Self Therapy Counselor PastSince Sep 1, 2022 Accepting new patients

Locations

3270 E 17th St
Ammon, ID 83406
Phone (208) 534-6568

1600 John Adams Pkwy
Ste 102
Idaho Falls, ID 83401
Phone (208) 523-0787

1820 E 17th St
Ste 330
Idaho Falls, ID 83404
Phone (208) 497-0685

Organizations & group practices 5

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1336327857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834066758",
            "telephone_number": "208-497-0685",
            "fax_number": "208-497-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 17TH",
            "address_2": "STE 330",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046400",
            "telephone_number": "208-497-0685",
            "fax_number": "208-497-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3522 Briar Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Ammon",
            "state": "ID",
            "postal_code": "834064728",
            "country_code": "US",
            "telephone_number": "208-529-1660",
            "fax_number": "208-529-1699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27261 Las Ramblas",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916441",
            "country_code": "US",
            "telephone_number": "909-790-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2025-08-14",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-10104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NEILSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.