| Angela Nivon Medrano, LPCA | |
|
1130 S Burr St Ste 200, Mitchell, SD 57301-4586 | |
| (605) 292-0361 | |
| Not Available |
| Full Name | Angela Nivon Medrano |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 2 Years |
| Location | 1130 S Burr St Ste 200, Mitchell, South Dakota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669361275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-21089 (South Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Engage Services Llc | 6901322833 | 5 |
| Entity Name | Engage Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124515218 PECOS PAC ID: 6901322833 Enrollment ID: O20250424000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Nivon Medrano, LPCA 2000 Shanard Rd, Mitchell, SD 57301-2186 Ph: (210) 850-8486 | Angela Nivon Medrano, LPCA 1130 S Burr St Ste 200, Mitchell, SD 57301-4586 Ph: (605) 292-0361 |
Linda Marie Cimpl, MS,NCC,LPC-MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E Havens Ave Ste 105, Mitchell, SD 57301 Phone: 605-999-6162 Fax: 605-942-7300 |
Kelley Lynn Millione, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 N Main St Ste C, Mitchell, SD 57301 Phone: 304-365-3258 |
Jason Ellwein, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 W Havens Ave, Mitchell, SD 57301 Phone: 605-996-9686 |
Donna Aldridge, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 W Havens Ave, Mitchell, SD 57301 Phone: 605-996-9686 |
Katie Nicole Wieczorek, LPC-MH, QMHP Counselor Medicare: Accepting Medicare Assignments Practice Location: 712 S Sanborn Blvd Ste 9, Mitchell, SD 57301 Phone: 605-674-3797 |
Kimberly L Lienemann, LIMHP NE; LPC-MH SD Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 N Lawler St, Mitchell, SD 57301 Phone: 605-444-7500 |
Whitney Asher, LCSW-PIP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1423 N Main St, Mitchell, SD 57301 Phone: 605-494-1500 Fax: 605-494-1501 |