Individual provider Active NPI

Angela Lester, LCSW

  • Counselor
  • Buckeye, WV
National Provider Identifier
1912200783
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
DP00943703 Issued in WV
Practice address
57 Duncan Rd
Buckeye, WV 24924-9044
Phone
(304) 799-7400
Fax
(304) 799-3933
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0904007388 WV
Counselor 101Y00000X DP00943703 WV Primary

Addresses

Primary practice location

57 Duncan Rd
Buckeye, WV 24924-9044

Mailing address

150 Duncan Rd
Buckeye, WV 24924-9037
Phone (304) 799-7400

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

LicenseStateTypeSpecialty
0904007388WVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pocahontas Memorial Hospital CurrentSince Mar 25, 2020 Accepting new patients

Locations

150 Duncan Rd
Buckeye, WV 24924
Phone (304) 799-7400

57 Duncan Rd
Buckeye, WV 24924
Phone (304) 799-1075

Organizations & group practices 1

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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1912200783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DUNCAN RD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249037",
            "telephone_number": "304-799-7400",
            "fax_number": "304-799-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 DUNCAN RD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249044",
            "telephone_number": "304-799-7400",
            "fax_number": "304-799-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "0904007388",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "DP00943703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.