Active NPI
Angela J Sanders, LCPC
- Professional Counselor
- Joliet, IL
National Provider Identifier
1780934372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178007601
- 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
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 | 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178007601 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joliet Center for Clinical Research, Inc | Professional | Current | 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.
-
- Psychiatry Physician
- Joliet, IL
- NPI 1760647226
Professional
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.