Angela Marie Crosby, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

077028 Issued in IA

Practice address

2123 10TH Ave S
Fort Dodge, IA 50501-5902

Phone

(515) 227-1708

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Center of Fort Dodge IncGroup PAC ID 1557378627, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Health Center of Fort Dodge Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Dodge, IA
  • NPI 1225083728
  Medicare reassignment Care Compare group
• Community Health Center of Fort Dodge, Inc.

  dba Community Health Center of Eagle Grove

  • Federally Qualified Health Center (FQHC)
  • Eagle Grove, IA
  • NPI 1801596325
  NPD

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1538544309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 10TH AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015902",
            "telephone_number": "515-227-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 10TH AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015902",
            "telephone_number": "515-227-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "077028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Webster (Webster County Health Department)
• County of Webster
• Jacob Crimmins, PHARMD
• Laccey Louise Crimmins, ARNP
• Allyson Croo
• Bobbi Christine Cummins, ARNP
• Daniel Pharmacy Inc (Daniel Pharmacy)
• John Daniel
• John F Daniel III, PHARM.D
• Matthew D Danilson, PA- C

• Mental Health Counselor in Fort Dodge, IA
• Providers in Fort Dodge, 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 22, 2015; 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.