Angela D Lewis, LPC
Individual provider Active NPI Professional Counselor · Fredericktown, MO
NPI 1447934278 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1447934278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2026024291 (MO)
- Practice address
- 600 Sargent Dr
Fredericktown, MO 63645-7526 - Phone
- (573) 783-4400
- Fax
- (573) 783-4409
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023021559 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Tabernacle World Outreach Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2026024291 | MO | Yes |
Addresses
Primary practice location
600 Sargent Dr
Fredericktown, MO 63645-7526
Mailing address
PO Box 25
Fredericktown, MO 63645-0025
Phone (573) 783-4400
Other providers in Fredericktown, MO
- Kelsey Marie Kinneman
- Frank T Klima
- Susan Lee Krydynski
- Ava Madeline Laut
- Jeremy I Leach
- Nancy D Lodge
- Madison County Adult Learning Center
- Madison County Ambulance District
- Madison County Council for Developmentally Disabled
- Madison County Council for Developmentally Disabled, Inc.
All providers in Fredericktown, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.