Active NPI
Angelique Lennon, L.M.T.
- Massage Therapist
- Huntington, WV
National Provider Identifier
1366785990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2013-3077
- Practice address
- 1119 20TH St
Huntington, WV 25703-2021 - Phone
- (304) 522-7553
- NPI assigned
- Apr 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2013-3077 | WV | Primary |
Addresses
Primary practice location
1119 20TH St
Huntington, WV 25703-2021
Mailing address
89 Township Road 355
Apt a
South Point, OH 45680-7220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-3077 | WV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Haijj Salon Ands Spa | Massage Therapist | 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.
-
- Massage Therapist
- Huntington, WV
- NPI 1982844437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1366785990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 TOWNSHIP ROAD 355",
"address_2": "APT A",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456807220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 20TH ST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257032021",
"telephone_number": "304-522-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "ANGELIQUE",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2013-3077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.