Individual provider Active NPI

Angelica Joyelle Spraggins, CRC, LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1023780004
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013753 Issued in PA
Practice address
2230 W 8TH St
Erie, PA 16505-4545
Phone
(833) 487-5769
Fax
(814) 315-9564
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013753 PA Primary

Addresses

Primary practice location

2230 W 8TH St
Erie, PA 16505-4545

Mailing address

1416 W 11TH St Apt 2
Erie, PA 16502-2968
Phone (585) 410-1792

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aspraggins@4urjrny.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC013753PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to a Trauma-Informed Life CurrentSince Oct 2, 2022 Accepting new patients

Locations

201 W 11th St
Erie, PA 16501
Phone (814) 397-7480

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1023780004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 W 11TH ST APT 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022968",
            "telephone_number": "585-410-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054545",
            "telephone_number": "833-487-5769",
            "fax_number": "814-315-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGGINS",
        "first_name": "ANGELICA",
        "middle_name": "JOYELLE",
        "credential": "CRC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aspraggins@4urjrny.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2230 W 8th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165054545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.