Individual provider Active NPI

Angela L Yeates, M.S., L.C.P.C.

  • Professional Counselor
  • Algonquin, IL
National Provider Identifier
1558553370
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-003737 Issued in IL
Practice address
2200 Huntington Dr N
Algonquin, IL 60102-4419
Phone
(815) 404-3365
Fax
(815) 356-7139
NPI assigned
Aug 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180003737 IL
Professional Counselor 101YP2500X 180-003737 IL Primary

Addresses

Primary practice location

2200 Huntington Dr N
Algonquin, IL 60102-4419

Mailing address

1572 Lilac Dr
Crystal Lake, IL 60014-1955
Phone (815) 404-3365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403000113 IL Practitioner - Mental Health Counselor 7810410560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 Huntington Dr N
Algonquin, IL 60102-4419
Phone (815) 404-3365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180003737ILMDMental Health Counselor
180-003737ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angela L Yeates Ms LCPC LLC Professional CurrentSince Jan 23, 2025 Accepting new patients

Locations

2200 Huntington Dr N
Algonquin, IL 60102
Phone (630) 229-2070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1558553370",
    "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": "847-368-0764"
        },
        {
            "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": {
        "last_name": "YEATES",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S., L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180003737",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-003737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.