Angela Cerniglia, LMFT LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011411 Issued in IL

Practice address

11035 Broadway Ste D
Crown Point, IN 46307-7488

Phone

(870) 895-7310

Fax

(708) 895-7602

NPI assigned

Jan 22, 2018

Last updated

Jan 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1760990923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 BROADWAY STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 BROADWAY STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077488",
            "telephone_number": "870-895-7310",
            "fax_number": "708-895-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNIGLIA",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "LMFT LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011411",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Professional Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.