Angela Marie Michalak, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-003975 Issued in IL

Practice address

1935 Brookdale Rd
Suite 119
Naperville, IL 60563-2771

Phone

(630) 717-9408

Fax

(630) 778-9490

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• 360 Youth Services

  • Professional Counselor
  • Naperville, IL
  • NPI 1518336908
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1831474196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 BROOKDALE RD",
            "address_2": "SUITE 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632771",
            "telephone_number": "630-717-9408",
            "fax_number": "630-778-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BROOKDALE RD",
            "address_2": "SUITE 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632771",
            "telephone_number": "630-717-9408",
            "fax_number": "630-778-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-003975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Reese Physician Group
• Michael S Russell, OD, LLC (Professional Eyecare Center)
• Michael Wagner, S.C.
• Christine Michaels, DDS MDS
• Daniel Michaels, LPC
• Anastasios Michalopulos, M.S., CCC-SLP/L
• Carol E. Michalski, RN
• Christine Michaud, M.D.
• Rebecca Michel, PHD
• Shay Monique Michel, MS OTRL

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.