Angela Peregud-Aksimentyeva, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009193 Issued in IL

Practice address

101 E Liberty LN
Danville, IL 61832-1442

Phone

(217) 431-8825

Fax

(217) 431-8827

NPI assigned

Nov 5, 2014

Last updated

May 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angela Peregud-Aksimentyeva Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindworks Mental Health

  • Professional Counselor
  • Champaign, IL
  • NPI 1992379234
  NPD Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1952707853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E LIBERTY LN",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321442",
            "telephone_number": "217-431-8825",
            "fax_number": "217-431-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E LIBERTY LN",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321442",
            "telephone_number": "217-431-8825",
            "fax_number": "217-431-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREGUD-AKSIMENTYEVA",
        "first_name": "ANGELA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3360",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PEREGUD-AKSIMENTYEVA",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark A Pellegrini, O.D.
• Nathalie Pelletier, D.C.
• Patrice Shanee Pelmore
• Austin Pena
• Beth Peralta, MS, RD, LDN
• Susan Perkins, LCPC
• Karmini S Persaud, PT
• Keline Peters Hood, MD
• Andrew Robert Peters, D.C.
• Eleanor K. Peters, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.