Individual provider Active NPI

Angela J Sanders, LCPC

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1780934372
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178007601 Issued in IL
Practice address
210 N Hammes Ave Ste 205
Joliet, IL 60435-8139
Phone
(815) 729-7790
Fax
(815) 725-8144
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 178007601 IL Primary

Addresses

Primary practice location

210 N Hammes Ave Ste 205
Joliet, IL 60435-8139

Mailing address

1055 S Laura LN
Diamond, IL 60416-9317
Phone (815) 582-6818

Other names 1

  • Angela J Connor Former name

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
I20250417001763 IL Practitioner - Mental Health Counselor 9133644586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joliet Center for Clinical Research, IncGroup PAC ID 3971662842, 9 clinicians

Practice addresses (Care Compare)

210 N Hammes Ave
Suite 205
Joliet, IL 60435-8139
Phone 8157297790102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178007601ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joliet Center for Clinical Research, Inc Professional CurrentSince Apr 15, 2025 Accepting new patients

Locations

210 N Hammes Ave
Ste 205
Joliet, IL 60435
Phone (815) 729-7790

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.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1780934372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 S LAURA LN",
            "city": "DIAMOND",
            "state": "IL",
            "postal_code": "604169317",
            "telephone_number": "815-582-6818",
            "fax_number": "815-725-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 205",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "815-729-7790",
            "fax_number": "815-725-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CONNOR",
            "middle_name": "J",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.