Elise Angelos

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.1500160 Issued in OH

Practice address

800 Gallia St
Suite 600
Portsmouth, OH 45662-4035

Phone

(740) 353-4673

Fax

(740) 353-5800

NPI assigned

Dec 22, 2016

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jay Hash LLC

  dba HopeSource

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portsmouth, OH
  • NPI 1578941381

  Professional

  NPD
• Jay Hash LLC

  dba Hopesource

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1518493394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1003351370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GALLIA ST STE 600",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624097",
            "telephone_number": "740-727-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GALLIA ST",
            "address_2": "SUITE 600",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624035",
            "telephone_number": "740-353-4673",
            "fax_number": "740-353-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELOS",
        "first_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1500160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moneta L Anderson
• Abbi L Andre, LICDC
• Raven Andrews
• Jacob Andronis
• Anesthesia Associates of Southern Ohio, Inc.
• William Angelos, MD
• Broch Anthony
• Tammy Apel
• Katie Arbeiter
• Nsisong Clement Archibong

• Professional Counselor in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.