Angela Sourounis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.011671 Issued in IL

Practice address

5201 Willow Springs Rd
La Grange Highlands, IL 60525-6537

Phone

(312) 715-7984

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1316397383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "312-715-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUROUNIS",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.011671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kunjal Shah
• Sarah Nazeer Siddiqui, D.O.
• Lindsey Shannon Sieck, MS CCC-SLP
• Jocelin Sisto, PA-C
• Peter Sobiech, MD
• Jili Sun, CSA
• The Cottage Wellness PLLC
• Jayson Tiu
• Steve Tolley
• Samuel J Traverso, DO

• Mental Health Counselor in La Grange Highlands, IL
• Providers in La Grange Highlands, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.