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DORA L ANGEVINE LPC
NPI 1023464948
Counselor - Professional in Saint Louis, MO

Active since May 10, 2016Opted out of Medicare · through Jan 29, 2028
7036 JULIAN AVE, SAINT LOUIS, MO 63130(314) 514-5107 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Jul 6, 2024, May 16, 2024 and 5 more (8 updates tracked since 2016).

About Dora L Angevine Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORA L ANGEVINE LPC (NPI 1023464948) is an individual professional provider in Saint Louis, Missouri, licensed in Oregon (C4910) and active in the NPI registry since May 2016. The provider has opted out of Medicare through January 29, 2028.

NPPES Registry Identity

NPI1023464948
Entity TypeIndividual
Primary Taxonomy101YP2500X
Provider Legal NameDORA L ANGEVINECredential: LPC
Location Address7036 JULIAN AVESaint Louis, MO 63130-1938
Mailing Address7036 Julian AveSaint Louis, MO 63130-1938 · (314) 514-5107
Phone(314) 514-5107
Sole ProprietorYes
Enumeration DateMay 10, 2016
Last NPPES UpdateMarch 18, 20258 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1023464948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in OR · C4910✔ Licensed in MO · 2019002608
7036 JULIAN AVE, Saint Louis, MO 63130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dora L Angevine Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 29, 2024 through January 29, 2028.

Opt-Out Effective DateJanuary 29, 2024
Opt-Out In Effect ThroughJanuary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dora Angevine's NPI number?

The NPI number for Dora Angevine is 1023464948. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Dora Angevine located?

Dora Angevine practices at 7036 Julian Ave, Saint Louis, MO 63130. The listed phone number is (314) 514-5107.

What is Dora Angevine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dora Angevine enrolled in Medicare?

No. Dora Angevine has opted out of Medicare through January 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Dora Angevine accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Dora Angevine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dora Angevine was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.