Active NPI
Angela R Poling, PSYCHOLOGIST
- Counseling Psychologist
- Chillicothe, MO
National Provider Identifier
1780579060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY01678
- Practice address
- 1412 Forest Dr
Chillicothe, MO 64601-1302 - Phone
- (660) 247-5264
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY01678 | MO | Primary |
Addresses
Primary practice location
1412 Forest Dr
Chillicothe, MO 64601-1302
Mailing address
1412 Forest Dr
Chillicothe, MO 64601-1302
Phone (660) 247-5264
Other practice location 1
1393 Route O
Fulton, MO 65251
Phone (573) 592-4040 ext. 354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY01678 | MO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1780579060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 FOREST DR",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646011302",
"telephone_number": "660-247-5264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 FOREST DR",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646011302",
"telephone_number": "660-247-5264"
}
],
"practiceLocations": [
{
"address_1": "1393 Route O",
"address_purpose": "LOCATION",
"city": "Fulton",
"state": "MO",
"postal_code": "65251",
"country_code": "US",
"telephone_number": "573-592-4040 x354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLING",
"first_name": "ANGELA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "PY01678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, MO
- Palmco Inc. (Hometown Healthy Living)
- Yulia Peniston, DO
- Sarah Beth Penn, FNP-BC
- James E Peppers Jr., M.D.
- Allison Susanne Pickering, LCSW
- Jennifer Powell, PHARMD
- Preferred Family Healthcare, Inc.
- Brooke J. D. Preylo, PSYD
- Proactive Physical Therapy and Sports Performance LLC
- Eleanor Ravens, MA, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.