ANGELA DAWN THOMAS MA, LPCC, LADC
NPI 1184482929
Counselor - Professional in Grand Rapids, MN

Active since March 07, 2024PECOS EnrolledAccepts Medicare Assignment
516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744(218) 327-2001 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Dawn Thomas Ma, Lpcc, Ladc NPPES

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

ANGELA DAWN THOMAS MA, LPCC, LADC (NPI 1184482929) is an individual professional provider in Grand Rapids, Minnesota, licensed in Minnesota (CC04277) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184482929
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA DAWN THOMASCredential: MA, LPCC, LADC
Location Address516 S POKEGAMA AVEGrand Rapids, MN 55744-3820
Mailing Address505 Se 21st St Apt 305Grand Rapids, MN 55744-2368 · (218) 910-8147
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
NPI 1184482929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · CC04277
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305922 (MN)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CC04277 (MN)
516 S POKEGAMA AVE, Grand Rapids, MN 55744

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angela Dawn Thomas Ma, Lpcc, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709228919
PECOS Enrollment IDI20240520002190
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Social Worker (Clinical)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Community/Behavioral Health
516 S POKEGAMA AVE, SUITE B
GRAND RAPIDS, MN 55744
Community/Behavioral Health
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Clinic/Center (Primary Care)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Counselor (Addiction (Substance Use Disorder))
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Social Worker (Clinical)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Nurse Practitioner (Psychiatric/Mental Health)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744

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 Angela Thomas's NPI number?

The NPI number for Angela Thomas is 1184482929. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Angela Thomas located?

Angela Thomas practices at 516 S Pokegama Ave, Grand Rapids, MN 55744. The listed phone number is (218) 327-2001.

What is Angela Thomas's specialty?

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

Is Angela Thomas enrolled in Medicare?

Yes. Angela Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angela Thomas was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.