Individual provider Active NPI

Angela McNally, LPC

  • Counselor
  • Weidman, MI
National Provider Identifier
1962830265
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401012948 Issued in MI
Practice address
3108 2ND St
Weidman, MI 48893-8721
Phone
(989) 944-5735
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Counselor 101Y00000X 6401012948 MI Primary

Addresses

Primary practice location

3108 2ND St
Weidman, MI 48893-8721

Mailing address

3108 2ND St
Weidman, MI 48893-8721
Phone (989) 944-5735

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network Mi, PC 5 clinicians

Practice addresses (Care Compare)

3108 2ND St
Weidman, MI 48893-8721
Phone (805) 450-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241004002046 MI Practitioner - Mental Health Counselor 7315478070 Reassigns benefits to 1 organization
I20250729002607 CO Practitioner - Mental Health Counselor 7315478070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Counseling Services PLLC Counselor CurrentSince Jan 1, 2023 Accepting new patients
Talkspace Provider Network Mi, PC Multi-Specialty CurrentSince Aug 18, 2024 Accepting new patients
Talkspace Provider Network Co, PC Multi-Specialty CurrentSince May 18, 2025 Accepting new patients
Resilient Life Counseling Services, PLLC Professional PastSince Jan 22, 2023 Accepting new patients
HST Counseling PLLC Multi-Specialty Past Accepting new patients

Locations

211 Maple St
Big Rapids, MI 49307
Phone (231) 487-2446

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1962830265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 2ND ST",
            "city": "WEIDMAN",
            "state": "MI",
            "postal_code": "488938721",
            "telephone_number": "989-944-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 2ND ST",
            "city": "WEIDMAN",
            "state": "MI",
            "postal_code": "488938721",
            "telephone_number": "989-944-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "ANGELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weidman, MI

Sources for this page

Verify at the official NPI Registry.