Active NPI
Aleena E Mangold
- Professional Counselor
- Peoria, IL
National Provider Identifier
1851102792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.021090
- Practice address
- 3716 W Brighton Ave
Peoria, IL 61615-2938 - Phone
- (309) 692-7755
- Fax
- (309) 692-2262
- NPI assigned
- Jan 20, 2025
- 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 | 178.021090 | IL | Primary |
Addresses
Primary practice location
3716 W Brighton Ave
Peoria, IL 61615-2938
Mailing address
3716 W Brighton Ave
Peoria, IL 61615-2938
Phone (309) 692-7755
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3716 W Brighton Ave
Peoria, IL 61615-2938
Phone (309) 692-7755
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.021090 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Day & Associates, LTD | Professional | Current | Accepting new patients |
Locations
3716 W Brighton Ave
Peoria, IL 61615
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": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1851102792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 W BRIGHTON AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616152938",
"telephone_number": "309-692-7755",
"fax_number": "309-692-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3716 W BRIGHTON AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616152938",
"telephone_number": "309-692-7755",
"fax_number": "309-692-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGOLD",
"first_name": "ALEENA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.021090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.