ANGELA CONGDON LMFT
NPI 1871946251
Counselor - Mental Health in San Jose, CA

Active since July 20, 2016Opted out of Medicare · through Jan 30, 2028
1190 S BASCOM AVE, SUITE 130, SAN JOSE, CA 95128(408) 234-1405 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angela Congdon Lmft NPPES

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

ANGELA CONGDON LMFT (NPI 1871946251) is an individual mental health provider in San Jose, California, licensed in California (49930) and active in the NPI registry since July 2016. She has opted out of Medicare through January 30, 2028.

NPPES Registry Identity

NPI1871946251
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA CONGDONCredential: LMFT
Location Address1190 S BASCOM AVE, SUITE 130San Jose, CA 95128-3545
Mailing Address1190 S Bascom Ave, Suite 130San Jose, CA 95128-3545 · (408) 234-1405
Sole ProprietorYes
Enumeration DateJuly 20, 2016
NPI 1871946251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 49930
1190 S BASCOM AVE, San Jose, CA 95128

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Angela Congdon Lmft 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 30, 2024 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2024
Opt-Out In Effect ThroughJanuary 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Marriage & Family Therapist
1190 S BASCOM AVE
SAN JOSE, CA 95128
Psychologist (Clinical)
1190 S BASCOM AVE, SUITE 208
SAN JOSE, CA 95128
Chiropractor
1190 S BASCOM AVE
SAN JOSE, CA 95128
Massage Therapist
1190 S BASCOM AVE, SUITE 244
SAN JOSE, CA 95128
Chiropractor
1190 S BASCOM AVE, SUITE 244
SAN JOSE, CA 95128
Chiropractor
1190 S BASCOM AVE, SUITE 110
SAN JOSE, CA 95128
Social Worker (Clinical)
1190 S BASCOM AVE, SUITE # 139
SAN JOSE, CA 95128
Prosthetic/Orthotic Supplier
1190 S BASCOM AVE, SUITE #239
SAN JOSE, CA 95128

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 Congdon's NPI number?

The NPI number for Angela Congdon is 1871946251. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Angela Congdon located?

Angela Congdon practices at 1190 S Bascom Ave Suite 130, San Jose, CA 95128. The listed phone number is (408) 234-1405.

What is Angela Congdon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Angela Congdon enrolled in Medicare?

No. Angela Congdon has opted out of Medicare through January 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Angela Congdon was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.