Active NPI
Angela Widdicombe, LCSW, LAC
- Mental Health Counselor
- Missoula, MT
National Provider Identifier
1831265420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 603
- Practice address
- 415 N Higgins Ave
Room 110, Higgins Plaza
Missoula, MT 59802-4522 - Phone
- (406) 360-0715
- NPI assigned
- Nov 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1162-LAC | MT | |
| Mental Health Counselor | 101YM0800X | 603 | MT | Primary |
Addresses
Primary practice location
415 N Higgins Ave
Room 110, Higgins Plaza
Missoula, MT 59802-4522
Mailing address
1008 Burlington Ave
Suite C
Missoula, MT 59801-5681
Phone (888) 850-4574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1162-LAC | Other | MT | LIC. ADDICTION COUNSELOR |
| 603 | Other | MT | CLINICAL SOCIAL WORKER |
Other names 1
- Angela Whitecrane
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1162-LAC | MT | MD | Addiction (Substance Use Disorder) Counselor |
| 603 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831265420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 BURLINGTON AVE",
"address_2": "SUITE C",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015681",
"telephone_number": "888-850-4574",
"fax_number": "406-542-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N HIGGINS AVE",
"address_2": "ROOM 110, HIGGINS PLAZA",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024522",
"telephone_number": "406-360-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDDICOMBE",
"first_name": "ANGELA",
"credential": "LCSW, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "1162-LAC",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC. ADDICTION COUNSELOR",
"identifier": "1162-LAC",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER",
"identifier": "603",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "WHITECRANE",
"credential": "LCSW, LAC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.