Angela E Jancola, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149.022802 Issued in IL

Practice address

411 E Park St Ste 106
Champaign, IL 61820-3862

Phone

(217) 714-7042

NPI assigned

Jan 21, 2022

Last updated

Jan 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1578215414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LAKE PARK RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227132",
            "telephone_number": "217-493-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E PARK ST STE 106",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203862",
            "telephone_number": "217-714-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCOLA",
        "first_name": "ANGELA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.022802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Y James
• Sara Elizabeth James, M.D., PH.D.
• Scarlett Jameson
• Jamie Stevens Counseling Group PLLC
• Sadasiva B. Jampala, M.D.
• Rachel Michelle Jankiewicz, M.A., CCC-SLP
• Japhia Hannah Jayasingh-Ramkumar, M.D.
• Jbe Transport and Logistics
• Richard Jean, A.T.C.
• Lawrence Lee Jeckel, M.D.

• Mental Health Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.