Active NPI
Angelia Elizabeth Brancheck, M. ED, LBS
- Behavior Analyst
- Connellsville, PA
National Provider Identifier
1225891708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH006647
- Practice address
- 412 S Pittsburgh St
Connellsville, PA 15425-4003 - Phone
- (724) 626-8420
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH006647 | PA | Primary |
| Counselor | 101Y00000X | BH006647 | PA |
Addresses
Primary practice location
412 S Pittsburgh St
Connellsville, PA 15425-4003
Mailing address
184 Hopwood Fairchance Rd
Hopwood, PA 15445-2100
Phone (724) 970-9844
Other names 1
- Angelia Elizabeth Workman
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH006647 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connellsville Counseling & Psychological Services, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Connellsville, PA
- NPI 1275844789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1225891708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 HOPWOOD FAIRCHANCE RD",
"city": "HOPWOOD",
"state": "PA",
"postal_code": "154452100",
"telephone_number": "724-970-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 S PITTSBURGH ST",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154254003",
"telephone_number": "724-626-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCHECK",
"first_name": "ANGELIA",
"middle_name": "ELIZABETH",
"credential": "M. ED, LBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH006647",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "BH006647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELIA",
"last_name": "WORKMAN",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Connellsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.