Active NPI
Libby A Angileri, LPC, SAC-IT
- Professional Counselor
- Beloit, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10417-125
- Practice address
- 1969 W Hart Rd
Beloit, WI 53511-2230 - Phone
- (608) 364-5011
- NPI assigned
- Oct 5, 2022
- Last updated
- Aug 2, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19480-130 | WI | |
| Professional Counselor | 101YP2500X | 10417-125 | WI | Primary |
Addresses
Primary practice location
1969 W Hart Rd
Beloit, WI 53511-2230
Mailing address
1969 W Hart Rd # RC
Beloit, WI 53511-2230
Phone (083) 645-0116
Other names 1
- Miss Libby A Detra
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | langileri@beloithealthsystem.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19480-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Health System, Inc | Current | Accepting new patients | |
| Beloit Health System Inc | Current | Accepting new patients | |
| Rock Valley Community Programs, Inc. | Past | Accepting new patients |
Locations
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Organizations & group practices 3
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.
-
dba Hendricks Family Heart Hospital
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Beloit, WI
- NPI 1568677417
-
dba Compass Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Janesville, WI
- NPI 1134306293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1245955996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1969 W HART RD # RC",
"city": "BELOIT",
"state": "WI",
"postal_code": "535112230",
"telephone_number": "083-645-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 W HART RD",
"city": "BELOIT",
"state": "WI",
"postal_code": "535112230",
"telephone_number": "608-364-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGILERI",
"first_name": "LIBBY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LPC, SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "19480-130",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10417-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "langileri@beloithealthsystem.org",
"affiliation": "N",
"endpointDescription": "Work email",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1969 W Hart Rd",
"city": "Beloit",
"state": "WI",
"country_code": "US",
"postal_code": "535112230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LIBBY",
"last_name": "DETRA",
"middle_name": "A",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.