1. Home
  2. Directory
  3. South Dakota
  4. Mitchell
  5. Counselor
  6. NPI Profile

ANGELA NIVON MEDRANO LPCA
NPI 1669361275
Counselor - Professional in Mitchell, SD

Active since June 30, 2025PECOS Enrolled
1130 S BURR ST STE 200, MITCHELL, SD 57301(605) 292-0361 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angela Nivon Medrano Lpca NPPES

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

ANGELA NIVON MEDRANO LPCA (NPI 1669361275) is an individual professional provider in Mitchell, South Dakota, licensed in South Dakota (LPC-21089) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669361275
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA NIVON MEDRANOCredential: LPCA
Location Address1130 S BURR ST STE 200Mitchell, SD 57301-4586
Mailing Address2000 Shanard RdMitchell, SD 57301-2186 · (210) 850-8486
Phone(605) 292-0361
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 30, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1669361275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SD · LPC-21089
1130 S BURR ST STE 200, Mitchell, SD 57301
Open in Google Maps ↗

Other Names 1

Former Name (1)Agela Nivon Medrano

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Nivon Medrano Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315428539
PECOS Enrollment IDI20260225004063
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 2

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

JONATHAN JAY BUSCH LPC
Counselor (Professional)
1130 S BURR ST STE 200
MITCHELL, SD 57301
Davison County (605) 990-6500
SYLVIA ESPINOZA LPC
Counselor (Mental Health)
1130 S BURR ST STE 200
MITCHELL, SD 57301
Davison County (605) 942-5437

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 Medrano's NPI number?

The NPI number for Angela Medrano is 1669361275. It was assigned to this individual provider in the NPPES registry on June 30, 2025. The provider is also known as Agela Nivon Medrano.

Where is Angela Medrano located?

Angela Medrano practices at 1130 S Burr St Ste 200, Mitchell, SD 57301. The listed phone number is (605) 292-0361.

What is Angela Medrano's specialty?

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

Is Angela Medrano enrolled in Medicare?

Yes. Angela Medrano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Medrano was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.