Active NPI
Angela Chermayne Campbell
- Professional Counselor
- Evanston, IL
National Provider Identifier
1750866570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.013428
- Practice address
- 565 Howard St
Evanston, IL 60202-4014 - Phone
- (872) 210-4778
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.013428 | IL | Primary |
Addresses
Primary practice location
565 Howard St
Evanston, IL 60202-4014
Mailing address
565 Howard St
Evanston, IL 60202-4014
Phone (872) 210-4778
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.013428 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satt Therapeutic Services, LLC | Professional | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1558037291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1750866570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 HOWARD ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602024014",
"telephone_number": "872-210-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 HOWARD ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602024014",
"telephone_number": "872-210-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ANGELA",
"middle_name": "CHERMAYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.013428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.