NPIMap

Organization Active NPI

Angelia Brantleylpc

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1740934157
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ANGELIA BRANTLEYLPC
Practice address
5345 Squires Manor Rd
Jackson, MI 49201-9721
Phone
(269) 274-1056
NPI assigned
Feb 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Angela Marie Brantley, LPCNPI 1740537059
Title
Owner
Phone
(269) 274-1056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5345 Squires Manor Rd
Jackson, MI 49201-9721

Mailing address

5345 Squires Manor Rd
Jackson, MI 49201-9721
Phone (269) 274-1056

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://angelia-brantley.clientsecure.me/documents Direct
CONNECT URL https://angelia-brantley.clientsecure.me/documents Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1740934157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 SQUIRES MANOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019721",
            "telephone_number": "269-274-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 SQUIRES MANOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019721",
            "telephone_number": "269-274-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIA BRANTLEYLPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-274-1056",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://angelia-brantley.clientsecure.me/documents",
            "affiliation": "N",
            "endpointDescription": "Patient care portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5345 Squires Manor Rd",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492019721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://angelia-brantley.clientsecure.me/documents",
            "affiliation": "N",
            "endpointDescription": "Simple Practice portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5345 Squires Manor Rd",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492019721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.