Angela Jean Kemner, MSE, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180012184 Issued in IL

Practice address

8965 Highway 36
Box 2
Hannibal, MO 63401-6739

Phone

(573) 406-0818

Fax

(573) 406-0818

NPI assigned

Sep 15, 2006

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cass County Public Health Dept

  dba Cass County Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Virginia, IL
  • NPI 1164596375
  Medicare reassignment NPD
• Cass County Public Health Dept

  • State or Local Public Health Clinic/Center
  • Virginia, IL
  • NPI 1871555193
  NPD
• Cass County Public Health Dept

  dba Cass County Health Clinic Beardstown

  • Federally Qualified Health Center (FQHC)
  • Beardstown, IL
  • NPI 1942439310
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1295831600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E WILMAR DR",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623016902",
            "telephone_number": "217-228-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 HIGHWAY 36",
            "address_2": "BOX 2",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016739",
            "telephone_number": "573-406-0818",
            "fax_number": "573-406-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 S Main St",
            "address_purpose": "LOCATION",
            "city": "Virginia",
            "state": "IL",
            "postal_code": "626911571",
            "country_code": "US",
            "telephone_number": "217-452-3057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMNER",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "credential": "MSE, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2008034851",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295831600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Renae Karcher, PHARMD
• Bhagirath H Katbamna, M.D.
• Aakash Kaushik, MD
• Elizabeth Keith
• Jeanette Marie Keller, FNP-BC
• Paula Diane Kendrick
• Tiffany Marie Kent, LPN
• Angela Keppner, PLPC
• George P Kerkemeyer, M.D.
• Karen Kerns, M.S. CCC-SLP

• Professional Counselor in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.