Angela Dawn Mace

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

092883 Issued in IA

Practice address

523 W Sheridan Ave
Shenandoah, IA 51601-1705

Phone

(712) 246-0159

Fax

(712) 246-2879

NPI assigned

May 9, 2019

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Mental Health LLCGroup PAC ID 5991075699, 5 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 and National Provider Directory roles.

• Midwest Mental Health LLC

  • Mental Health Counselor
  • Shenandoah, IA
  • NPI 1144695040

  IA, Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1699330191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516010115",
            "telephone_number": "712-246-0159",
            "fax_number": "712-246-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 W SHERIDAN AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011705",
            "telephone_number": "712-246-0159",
            "fax_number": "712-246-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "092883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sue Ledford, D.C
• Darci Lewis, PHARM.D, RPH
• Holly Maureen Logan, PMHNP-BC
• Jennifer Ann Lundgren, PMHNP
• David Lutz, MD
• Martee R Macleod-Kozal, M.D.
• Carin Renee Mason, DC
• Jeffrey P McCoy, D.C.
• Denise J McEnaney
• Margaret McGrath, MA, CCC-SLP

• All providers in Shenandoah, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.