Individual provider Active NPI

Angela Lyn Bigelow, LMHC

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1982958864
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001504 Issued in IA
Practice address
3251 W 9TH St
Waterloo, IA 50702-5310
Phone
(319) 234-2893
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001504 IA Primary

Addresses

Primary practice location

3251 W 9TH St
Waterloo, IA 50702-5310

Mailing address

3641 Kimball Ave
Waterloo, IA 50702-5757
Phone (319) 529-9980

Other practice location 1

3641 Kimball Ave # 204
Waterloo, IA 50702-5757
Phone (319) 529-9980

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

State licenses

LicenseStateTypeSpecialty
001504IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Bigelow Counseling & Therapy Services, PLC Mental Health CurrentSince Aug 14, 2022 Accepting new patients
Black Hawk-Grundy Mental Health Center Inc. CurrentSince Aug 7, 2022 Accepting new patients

Locations

3251 W 9th St
Waterloo, IA 50702
Phone (319) 234-2893

3641 Kimball Ave
Ste 204
Waterloo, IA 50702
Phone (319) 529-9980

Interoperability endpoints

  • Direct secure messaging: abigelow1021732@direct.unitypoint.org

Organizations & group practices 3

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1982958864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025757",
            "telephone_number": "319-529-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025310",
            "telephone_number": "319-234-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3641 Kimball Ave # 204",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025757",
            "country_code": "US",
            "telephone_number": "319-529-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "ANGELA",
        "middle_name": "LYN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.