Individual provider Active NPI

Angela Ogleclark, MS, LPC, CRC

  • Professional Counselor
  • Troy, AL
National Provider Identifier
1033789722
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2482 Issued in AL
Practice address
315 N Three Notch St
Troy, AL 36081-2021
Phone
(334) 372-0346
Fax
(256) 701-6926
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 00117998 AL
Professional Counselor 101YP2500X 2482 AL Primary

Addresses

Primary practice location

315 N Three Notch St
Troy, AL 36081-2021

Mailing address

315 N Three Notch St
Troy, AL 36081-2021
Phone (334) 372-0346

Other identifiers 2

IdentifierTypeStateIssuer
2482OtherALSTATE LPC LICENSE
00117998OtherALSTATE CRC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL troycounselingservices.com Other

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00117998ALMDRehabilitation Counselor
2482ALMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1033789722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N THREE NOTCH ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812021",
            "telephone_number": "334-372-0346",
            "fax_number": "256-701-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N THREE NOTCH ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812021",
            "telephone_number": "334-372-0346",
            "fax_number": "256-701-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLECLARK",
        "first_name": "ANGELA",
        "credential": "MS, LPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "AL",
            "license": "00117998",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LPC LICENSE",
            "identifier": "2482",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CRC LICENSE",
            "identifier": "00117998",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "troycounselingservices.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "315 N Three Notch St",
            "city": "Troy",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360812021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.