Active NPI
Angelia Blankley, PLMHP
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1437554870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11899
- Practice address
- 770 N Cotner Blvd Ste 330
Lincoln, NE 68505-2377 - Phone
- (402) 417-6909
- Fax
- (844) 848-7537
- NPI assigned
- Oct 28, 2014
- Last updated
- Aug 29, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11899 | NE | Primary |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
770 N Cotner Blvd Ste 330
Lincoln, NE 68505-2377
Mailing address
2201 S 17TH St
Lincoln, NE 68502-3713
Other practice location 1
2201 S 17th St
Lincoln, NE 68502-3713
Phone (402) 441-7940
Other names 1
- Angelia Crandon
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 |
|---|---|---|---|
| 11899 | NE | MD | Mental Health Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Lincoln, NE
- NPI 1275180382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1437554870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 S 17TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD STE 330",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052377",
"telephone_number": "402-417-6909",
"fax_number": "844-848-7537"
}
],
"practiceLocations": [
{
"address_1": "2201 S 17th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685023713",
"country_code": "US",
"telephone_number": "402-441-7940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANKLEY",
"first_name": "ANGELIA",
"credential": "PLMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "11899",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELIA",
"last_name": "CRANDON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.