ANGIE KAY DEWAARD (LPC) – Mental Health Counselor, NPI 1164763413

ANGIE KAY DEWAARD (LPC) is a healthcare provider. based in Granbury, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 001615 (IA). The NPI Number for ANGIE KAY DEWAARD (LPC) is 1164763413

Main info

Female
18 Years Of Experience
Name
ANGIE KAY DEWAARD (LPC)
NPI
1164763413
Phone
(641) 780-2741
Address
218 E BRIDGE ST APT 12
Enumeration Date
12 March 2013
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
3072959824
Professional Enrollment ID
I20240314003052
Address ID
AZ852517630SC4800XRDXX424
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:13State licenses:2Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for ANGIE KAY DEWAARD (LPC)

  • 218 E BRIDGE ST APT 12

    GRANBURY, TX 760482234

    Phone: (641) 780-2741

    Type: Mailing

  • 320 N EISENHOWER AVE

    MASON CITY, IA 504011521

    Phone: (641) 424-2391

    Fax: (641) 424-0783

    Type: Location

  • 308 S FRIENDSWOOD DR STE 200

    FRIENDSWOOD, TX 775463989

    Phone: (844) 824-8775

    Type: Mailing

  • 5575 WARREN PKWY STE 120

    FRISCO, TX 750344093

    Phone: (844) 824-8775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240314003052IMental Health CounselorTXTBD
I20240828001404IMental Health CounselorKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76048)

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Reviews

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Frequently asked questions

Is ANGIE KAY DEWAARD (LPC) listed with a National Provider Identifier?
Yes — ANGIE KAY DEWAARD (LPC) has NPI 1164763413 on file in the registry.
Is ANGIE KAY DEWAARD (LPC) shown as active in public data?
Registry records indicate ANGIE KAY DEWAARD (LPC) maintains an active NPI.
What area of care is associated with ANGIE KAY DEWAARD (LPC)?
ANGIE KAY DEWAARD (LPC)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is ANGIE KAY DEWAARD (LPC) associated with Granbury?
Public fields place ANGIE KAY DEWAARD (LPC) around Granbury, Texas. Always confirm the exact site before visiting.
Does ANGIE KAY DEWAARD (LPC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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