Individual provider Active NPI

Angela Dornath, BS, MS, LMHC

  • Mental Health Counselor
  • Fort Dodge, IA
National Provider Identifier
1801277579
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
976943 Issued in IA
Practice address
104 N 27TH St Ste B
Fort Dodge, IA 50501-4322
Phone
(515) 890-1233
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 076943 IA
Mental Health Counselor 101YM0800X 976943 IA Primary

Addresses

Primary practice location

104 N 27TH St Ste B
Fort Dodge, IA 50501-4322

Mailing address

104 N 27TH St Ste B
Fort Dodge, IA 50501-4322
Phone (515) 890-1233

Other practice location 1

200 Avenue O
Fort Dodge, IA 50501-5728
Phone (515) 890-1233

Other practice location 2

720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (800) 482-8305

Other identifiers 2

IdentifierTypeStateIssuer
0159608MedicaidIA
07466OtherIAWELLMARK BCBS

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
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
076943IAMDMental Health Counselor
976943IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ak Dornath LLC Dba Renewed Hope Counseling Mental Health CurrentSince Jul 28, 2025 Accepting new patients
North Central Iowa Mental Health Center, Inc Past Accepting new patients

Locations

104 N 27th St
Ste B
Fort Dodge, IA 50501
Phone (515) 890-1233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1801277579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N 27TH ST STE B",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014322",
            "telephone_number": "515-890-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N 27TH ST STE B",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014322",
            "telephone_number": "515-890-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Avenue O",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505015728",
            "country_code": "US",
            "telephone_number": "515-890-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Kenyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505015759",
            "country_code": "US",
            "telephone_number": "800-482-8305",
            "fax_number": "515-573-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORNATH",
        "first_name": "ANGELA",
        "credential": "BS, MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "076943",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "976943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "07466",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.