Active NPI
Angela Louise Hilliard
- Counselor
- Clinton, IL
National Provider Identifier
1497010839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 200 E Main St
Lifeway Behavioral Health Services Inc
Clinton, IL 61727-3001 - Phone
- (217) 935-3900
- NPI assigned
- Jul 11, 2012
- Last updated
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
200 E Main St
Lifeway Behavioral Health Services Inc
Clinton, IL 61727-3001
Mailing address
102 N Harrison St
Clinton, IL 61727-1817
Phone (405) 694-8953
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeway Behavioral Health Services Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Clinton, IL
- NPI 1750721072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1497010839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N HARRISON ST",
"city": "CLINTON",
"state": "IL",
"postal_code": "617271817",
"telephone_number": "405-694-8953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E MAIN ST",
"address_2": "LIFEWAY BEHAVIORAL HEALTH SERVICES INC",
"city": "CLINTON",
"state": "IL",
"postal_code": "617273001",
"telephone_number": "217-935-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "ANGELA",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.