Angele Perez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDCIII.162162 Issued in OH

Practice address

117 Blossom Centre Blvd
Willard, OH 44890-9317

Phone

(567) 560-3586

NPI assigned

Nov 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Angele Crist Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1396258208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W MAIN ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448051541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BLOSSOM CENTRE BLVD",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909317",
            "telephone_number": "567-560-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANGELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161946",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.162162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELE",
            "last_name": "CRIST",
            "credential": "LCDCIII",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joshua Joel Olewiler, D.O.
• Orthopaedic Institute of Ohio, Inc
• Woo Hyun Paik, M.D.
• Carisa Nicole Painter, RN
• Brooke Elizabeth Palmer, M.S., CCC-SLP
• Zachary Philbeck
• Phillip Keysor
• Meagan Ponchel, COTA/L
• Amelia Schrag Prack, M.D.
• Pristine Senior Living of Willard, LLC

• Addiction (Substance Use Disorder) Counselor in Willard, OH
• Providers in Willard, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.