Active NPI
Angela Lamb
- Mental Health Counselor
- Riverdale, UT
National Provider Identifier
1558138693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12677149-6004
- Practice address
- 5129 S 1500 W
Riverdale, UT 84405-3926 - Phone
- (801) 738-4653
- NPI assigned
- Dec 8, 2023
- Last updated
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12677149-6004 | UT | Primary |
Addresses
Primary practice location
5129 S 1500 W
Riverdale, UT 84405-3926
Mailing address
498 N Kays Dr Ste 210
Kaysville, UT 84037-4153
Phone (413) 977-9005
Other practice location 1
498 N Kays Dr Ste 210
Kaysville, UT 84037-4153
Phone (413) 977-9005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
498 N Kays Dr
Suite 210
Kaysville, UT 84037-4153
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| It Is Well Mental Health | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba It is Well
- Community/Behavioral Health Agency
- Marietta, SC
- NPI 1194512764
-
- Clinical Social Worker
- Kaysville, UT
- NPI 1023602547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1558138693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 N KAYS DR STE 210",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840374153",
"telephone_number": "413-977-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5129 S 1500 W",
"city": "RIVERDALE",
"state": "UT",
"postal_code": "844053926",
"telephone_number": "801-738-4653"
}
],
"practiceLocations": [
{
"address_1": "498 N Kays Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Kaysville",
"state": "UT",
"postal_code": "840374153",
"country_code": "US",
"telephone_number": "413-977-9005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMB",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "12677149-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.