DR. ANGELA ANN LUMBAR PSYD,LP
NPI 1700972320
Psychologist in Willmar, MN

Active since October 04, 2006PECOS Enrolled
115 LITCHFIELD AVE SE, WILLMAR, MN 56201(203) 522-1411 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2023, Mar 16, 2021 (2 updates tracked since 2021).

About Dr. Angela Ann Lumbar Psyd,lp NPPES

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

DR. ANGELA ANN LUMBAR PSYD,LP (NPI 1700972320) is an individual psychologist in Willmar, Minnesota, licensed in Minnesota (LP4330) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1700972320
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANGELA ANN LUMBARCredential: PSYD,LP
Location Address115 LITCHFIELD AVE SEWillmar, MN 56201-3476
Mailing AddressPo Box 396Fairfax, MN 55332-0361 · (320) 522-1411
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
NPI 1700972320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP4330
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP4330 (MN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LP4330 (MN)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License LP4330 (MN)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License LP4330 (MN)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License LP4330 (MN)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License LP4330 (MN)
115 LITCHFIELD AVE SE, Willmar, MN 56201

Other Names 1

Former Name (1)Angela Ann Kennedy

Secondary Practice Location 1

Location 1100 4th Street SEFairfax, MN 55332-0361 · Phone (320) 522-1411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Angela Ann Lumbar Psyd,lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537156930
PECOS Enrollment IDI20210628001360
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.

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 Lumbar's NPI number?

The NPI number for Angela Lumbar is 1700972320. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Angela Ann Kennedy.

Where is Angela Lumbar located?

Angela Lumbar practices at 115 Litchfield Ave SE, Willmar, MN 56201. The listed phone number is (203) 522-1411.

What is Angela Lumbar's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Angela Lumbar enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Angela Lumbar was last updated on August 18, 2023. 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.