Angela Hinson
Individual provider Active NPI Professional Counselor · Crete, IL
NPI 1487330296 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1487330296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178016521 (IL)
- Practice address
- 3672 Ronald Road
Crete, IL 60417 - Phone
- (708) 296-8698
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178016521 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178016521 | IL | Yes |
Addresses
Primary practice location
3672 Ronald Road
Crete, IL 60417
Mailing address
3672 Ronald Road
Crete, IL 60417-1606
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All providers in Crete, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.