Active NPI
Angela Lyn Bigelow, LMHC
- Mental Health Counselor
- Waterloo, IA
National Provider Identifier
1982958864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001504 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Bigelow Counseling & Therapy Services, PLC | Mental Health | Current | Accepting new patients |
| Black Hawk-Grundy Mental Health Center Inc. | Current | 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
- 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.
-
- Mental Health Counselor
- Waterloo, IA
- NPI 1669100509
Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterloo, IA
- NPI 1316944598
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
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.