Individual provider Active NPI

Angela Marie Yoder, MA, NCC, LBS, LPC

  • Professional Counselor
  • Windber, PA
National Provider Identifier
1871076612
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010644 Issued in PA
Practice address
2301 Graham Ave
Windber, PA 15963
Phone
(814) 691-1780
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC010644 PA Primary

Addresses

Primary practice location

2301 Graham Ave
Windber, PA 15963

Mailing address

168 Colonial Dr
Davidsville, PA 15928-9504
Phone (814) 691-1780

Other practice location 1

1224 Graham Ave
Windber, PA 15963-1739
Phone (814) 691-1780

Other identifiers 1

IdentifierTypeStateIssuer
PC010644OtherPALICENSE PROFESSIONAL COUNSELOR

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC010644PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1871076612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 COLONIAL DR",
            "city": "DAVIDSVILLE",
            "state": "PA",
            "postal_code": "159289504",
            "telephone_number": "814-691-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GRAHAM AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-691-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 Graham Ave",
            "address_purpose": "LOCATION",
            "city": "Windber",
            "state": "PA",
            "postal_code": "159631739",
            "country_code": "US",
            "telephone_number": "814-691-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MA, NCC, LBS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PROFESSIONAL COUNSELOR",
            "identifier": "PC010644",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.