P Praxis·MD
● Active Type 1 · Individual

MRS. Angela Mooney, LPC

Counselor·Kimberly, ID· NPI 1306191531 · Enumerated 2012 · 13 years on NPI
Mooney is 1 of 3 counselor providers in Kimberly and 1 of 545 in Idaho.
NPI age
13 years
Enumerated 2012-07-13
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-07-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 545 active counselor providers in Idaho.

NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
3619 N 3400 E
Kimberly, ID 833415288
📞 2087316347
Mailing address
3619 N 3400 E
Kimberly, ID 833415288
📞 2087316347

Specialties

  • Counselor Primary
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    ID license #LPC-4925 taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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