Individual provider Active NPI

Eleanor Mae Angeline, LPC

  • Professional Counselor
  • Cherry Hill, NJ
National Provider Identifier
1649403189
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00387700 Issued in NJ
Practice address
1871 Route 70 E
Suite 202
Cherry Hill, NJ 08003-2020
Phone
(856) 751-8700
Fax
(857) 751-3520
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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 37PC00387700 NJ Primary

Addresses

Primary practice location

1871 Route 70 E
Suite 202
Cherry Hill, NJ 08003-2020

Mailing address

1871 Route 70 E
Suite 202
Cherry Hill, NJ 08003-2020
Phone (856) 751-8700

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

State licenses

LicenseStateTypeSpecialty
37PC00387700NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1649403189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 ROUTE 70 E",
            "address_2": "SUITE 202",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032020",
            "telephone_number": "856-751-8700",
            "fax_number": "857-751-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 ROUTE 70 E",
            "address_2": "SUITE 202",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032020",
            "telephone_number": "856-751-8700",
            "fax_number": "857-751-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELINE",
        "first_name": "ELEANOR",
        "middle_name": "MAE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00387700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.