Individual provider Active NPI

Janine Cangialosi, LCPC

  • Professional Counselor
  • Inverness, IL
National Provider Identifier
1629589569
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.010777 Issued in IL
Practice address
1608 W Colonial Pkwy Ste 101
Inverness, IL 60067-4755
Phone
(224) 522-1430
NPI assigned
Oct 18, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.010777 IL Primary

Addresses

Primary practice location

1608 W Colonial Pkwy Ste 101
Inverness, IL 60067-4755

Mailing address

224 Oakwood Dr
Wood Dale, IL 60191-1954
Phone (224) 552-1430

Other identifiers 1

IdentifierTypeStateIssuer
180.010777OtherILLICENSE

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
I20240206003510 IL Practitioner - Mental Health Counselor 5496198558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Clinical Services PLLCGroup PAC ID 7517395064, 30 clinicians

Practice addresses (Care Compare)

1100 Jorie Blvd
Suite 300
Oak Brook, IL 60523-2219
Phone (630) 974-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.010777ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Clinical Services PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

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.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1629589569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 OAKWOOD DR",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911954",
            "telephone_number": "224-552-1430",
            "fax_number": "847-305-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W COLONIAL PKWY STE 101",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600674755",
            "telephone_number": "224-522-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGIALOSI",
        "first_name": "JANINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "180.010777",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, IL

Sources for this page

Verify at the official NPI Registry.