Angela L Yeates Ms LCPC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003737 Issued in IL

Legal business name

ANGELA L YEATES MS LCPC LLC

Practice address

2200 Huntington Dr N
Algonquin, IL 60102-4419

Phone

(815) 404-3365

Fax

(815) 356-7139

NPI assigned

Aug 16, 2017

Organization subpart

No

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

Authorized official

Name

Angela L Yeates, MS LCPCNPI 1558553370

Title

President

Phone

(815) 404-3365

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela L Yeates, M.S., L.C.P.C.

  • Professional Counselor
  • Algonquin, IL
  • NPI 1558553370
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1417473018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 LILAC DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141955",
            "telephone_number": "815-404-3365",
            "fax_number": "815-365-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HUNTINGTON DR N",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024419",
            "telephone_number": "815-404-3365",
            "fax_number": "815-356-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA L YEATES MS LCPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "YEATES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-404-3365",
        "authorized_official_credential": "MS LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.