ANGELO GILMORE LMSW, LPC
NPI 1881348589
Counselor - Professional in Waterford, MI

Active since February 10, 2022PECOS Enrolled
4512 DIXIE HWY, WATERFORD, MI 48329(248) 909-1869(248) 599-7392 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Angelo Gilmore Lmsw, Lpc NPPES

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

ANGELO GILMORE LMSW, LPC (NPI 1881348589) is an individual professional provider in Waterford, Michigan, licensed in Michigan (6401000319) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881348589
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANGELO GILMORECredential: LMSW, LPC
Location Address4512 DIXIE HWYWaterford, MI 48329-3514
Mailing Address70 Virginia Park StDetroit, MI 48202-2037 · (313) 559-0869
Fax(248) 599-7392
Sole ProprietorNo
Enumeration DateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
✔ NPI 1881348589 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 MI · 6401000319
4512 DIXIE HWY, Waterford, MI 48329

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelo Gilmore Lmsw, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Angelo Gilmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Substance Abuse Rehabilitation Facility
4512 DIXIE HWY
Waterford, MI 48329
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
Clinic/Center
6770 DIXIE HIGHWAY, SUITE 103
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Social Worker
4512 DIXIE HWY
WATERFORD, MI 48329
Counselor
4512 DIXIE HWY
WATERFORD, MI 48329
Behavior Technician
4512 DIXIE HWY
WATERFORD, MI 48329
Substance Abuse Rehabilitation Facility
4512 DIXIE HWY
WATERFORD, MI 48329
Social Worker (Clinical)
4512 DIXIE HWY
WATERFORD, MI 48329

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 Angelo Gilmore's NPI number?

The NPI number for Angelo Gilmore is 1881348589. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Angelo Gilmore located?

Angelo Gilmore practices at 4512 Dixie Hwy, Waterford, MI 48329. The listed phone number is (248) 909-1869.

What is Angelo Gilmore's specialty?

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

Is Angelo Gilmore enrolled in Medicare?

Yes. Angelo Gilmore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angelo Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelo Gilmore reassigns Medicare benefits to 2 organizations: Genuine Solutions Counseling Center (Waterford, MI) and Therapy Services Of Clarkston (Clarkston, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelo Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelo Gilmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Angelo Gilmore 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 Angelo Gilmore was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.