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Angela Dion Mitchell , LCPC

Counselor β€’ O'fallon, IL

Active NPI 1942585047 Individual Practitioner Female Practitioner
Practice location in NPPES

784 Wall St, Suite 100
O'fallon, IL 62269

Call 6185155158 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

784 Wall St
Suite 100

O'fallon, IL 62269

Telephone 6185155158
Fax 6185330012

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in O'fallon and Illinois

5 active clinicians are listed under Counselor with a practice address in O'Fallon, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 180.014052

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 19, 2022

Registered at 784 WALL ST, SUITE 100, O'FALLON, IL 62269 (Tel: 6185155158)

πŸ“
Updated Business Mailing Address September 19, 2022

Registered at 784 WALL ST, SUITE 100, O'FALLON, IL 62269 (Tel: 6185155158)

πŸ‘€
Provider Name / Credentials Updated September 19, 2022

Recorded as ANGELA MITCHELL, LCPC

βœ…
NPI Profile Active October 20, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 20, 2011

Registered at 101 S LOCUST ST, CENTRALIA, IL 628013506 (Tel: 6185331391)

πŸ“
Business Mailing Address (Initial Record) October 20, 2011

Registered at 101 S LOCUST ST, CENTRALIA, IL 628013506 (Tel: 6185331391)

πŸ‘€
Provider Name / Credentials (Initial Record) October 20, 2011

Recorded as ANGELA MITCHELL, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2011

Counselor

🟒
Initial NPI Registration & Enumeration October 20, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942585047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2011
Last Update: September 19, 2022
Sole Proprietor: Yes

Mailing Address

784 Wall St, Suite 100

O'fallon, IL 62269

Phone: 6185155158

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.