Individual provider Active NPI

Angela Solis, LCPC

  • Professional Counselor
  • Morris, IL
National Provider Identifier
1639110612
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180003593 Issued in IL
Practice address
1802 N Division St Ste 509
Morris, IL 60450-3107
Phone
(815) 941-3882
Fax
(815) 941-3884
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14623 IL
Professional Counselor 101YP2500X 180003593 IL Primary

Addresses

Primary practice location

1802 N Division St Ste 509
Morris, IL 60450-3107

Mailing address

1802 N Division St Ste 509
Morris, IL 60450-3107
Phone (815) 941-3882

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
I20240418001877 IL Practitioner - Mental Health Counselor 8729082680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14623ILMDAddiction (Substance Use Disorder) Counselor
180003593ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Services, PLLC Addiction (Substance Use Disorder) CurrentSince Apr 1, 2009 Accepting new patients
Crossroads Counseling Services, PLLC Past Accepting new patients
Crossroads Counseling Services, PLLC Past Accepting new patients
Crossroads Counseling Services, PLLC Past Accepting new patients

Locations

1802 N Division St
Ste 509
Morris, IL 60450
Phone (815) 941-4700

601 W Norris Dr
Ste B
Ottawa, IL 61350
Phone (815) 431-1800

13550 S Route 30
Ste 302
Plainfield, IL 60544
Phone (815) 254-5614

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1639110612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 509",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503107",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 509",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503107",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "ANGELA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "14623",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.