Active NPI
Angell Mack, LCPC
- Professional Counselor
- Springfield, IL
National Provider Identifier
1346899499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.014452
- Practice address
- 400 S 9TH St Ste 202
Springfield, IL 62701-1913 - Phone
- (217) 544-4631
- NPI assigned
- Sep 10, 2019
- 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 | IL | ||
| Professional Counselor | 101YP2500X | 180.014452 | IL | Primary |
Addresses
Primary practice location
400 S 9TH St Ste 202
Springfield, IL 62701-1913
Mailing address
400 S 9TH St Ste 202
Springfield, IL 62701-1913
Phone (217) 544-4631
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Child and Family Service of Illinois | Addiction (Substance Use Disorder) | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, IL
- NPI 1588993430
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1346899499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S 9TH ST STE 202",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011913",
"telephone_number": "217-544-4631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 9TH ST STE 202",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011913",
"telephone_number": "217-544-4631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "ANGELL",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.014452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.