Individual provider Active NPI

Angela Hassenpflug, LCPC

  • Professional Counselor
  • Newcastle, ME
National Provider Identifier
1194130146
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC4823 Issued in ME
Practice address
39 River Rd
Newcastle, ME 04553-3802
Phone
(207) 592-7888
Fax
(603) 768-1521
NPI assigned
Jun 29, 2014
Last updated
Oct 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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 CC4823 ME Primary

Addresses

Primary practice location

39 River Rd
Newcastle, ME 04553-3802

Mailing address

88 Jordan Ave
Brunswick, ME 04011-1615
Phone (207) 592-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC4823MEMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1194130146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JORDAN AVE",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111615",
            "telephone_number": "207-592-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 RIVER RD",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045533802",
            "telephone_number": "207-592-7888",
            "fax_number": "603-768-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSENPFLUG",
        "first_name": "ANGELA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC4823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, ME

Sources for this page

Verify at the official NPI Registry.