ANGELA PENNELL


Address: 2240 Prairie Ave, Beloit, WI 53511-2648
Phone: 6083617200

ANGELA PENNELL (NPI# 1992360531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992360531
Entity Type Individual
Full Name ANGELA PENNELL
Credential SAC-IT
Practice Address 2240 Prairie Ave
Beloit
WI 53511-2648
Mailing Address 1629 E Inman Pkwy Apt 8
Beloit
WI 53511-6545
Practice Telephone 6083617200
Mailing Telephone 6082897064
Enumeration Date 2019-05-09
Last Update Date 2019-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
18191-130 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1124242177 05

Other Providers ANGELA PENNELL

NPI Name Taxonomy Address Enumeration
1124242177 Angela M Pennell Anesthesiology 2635 N 7th St, Grand Junction, CO 81501-8209 2007-04-12

Office Location

Street Address 2240 PRAIRIE AVE
City BELOIT
State WI
Zip Code 53511-2648

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275787889 Latoya Marie White Licensed Practical Nurse 2240 Prairie Ave, Beloit, WI 53511-2648 2008-11-10
1306447909 Brenda May Diaz Counselor 2240 Prairie Ave, Beloit, WI 53511-2648 2020-11-02
1891393658 Kwamesha Mone' Milsap Licensed Practical Nurse 2240 Prairie Ave, Beloit, WI 53511-2648 2020-10-14
1134747009 Breanna Elizabeth Adams Counselor 2240 Prairie Ave, Beloit, WI 53511-2648 2020-07-08
1376160937 Dori Martinez Registered Nurse 2240 Prairie Ave, Beloit, WI 53511-2648 2020-06-30
1316562309 Steven Thomas Koester Counselor 2240 Prairie Ave, Beloit, WI 53511-2648 2020-06-15
1750949939 Tracie Dill Counselor 2240 Prairie Ave, Beloit, WI 53511-2648 2019-06-03
1124682679 Kristina Renee Stanis Counselor 2240 Prairie Ave, Beloit, WI 53511-2648 2019-04-30
1770052326 Pamela C Long Counselor 2240 Prairie Ave, Beloit, WI 53511-2648 2018-11-13
1831685619 Laura Ann Woodberry Registered Nurse 2240 Prairie Ave, Beloit, WI 53511-2648 2018-07-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730738485 Linda Lee Cook Technician 914 Cranston Rd., Beloit, WI 53511 2019-09-05
1033773734 Holistic Counseling Services, LLC Counselor 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 2019-04-28
1578073870 Bonita May Cooke Counselor 838 Grant St., Beloit, WI 53511 2017-10-02
1679091219 Stacy Lynn Gallagher Licensed Practical Nurse 1060 Bittel St, Beloit, WI 53511 2017-09-04
1629448824 Brenda Jean Allen Registered Nurse 2907 E. Leona Drive, Beloit, WI 53511 2015-09-30
1033595038 Amber Noel Slaybaugh Physical Therapist 838 E. Azalea Ter., Beloit, WI 53511 2015-08-03
1407260326 Quirt Family Dentistry, Sc Dentist 2777 Milwaukee Rd, Beloit, WI 53511 2014-06-18
1821436973 Raymond K Spade Counselor 2240 Prairie Ave., Beloit, WI 53511 2013-06-11
1629321658 Sarah Ann Nelson Physical Therapist 1905 W. Hart Road, Beloit, WI 53511 2012-10-15
1235494212 Mary Ann Hudson Nurse Practitioner 700 College Street, Beloit College, Beloit, WI 53511 2012-07-06
Find all providers in zip 53511

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518477660 Audrey Elaine Marchillo Counselor 3447 Bee Ln, Beloit, WI 53511-1901 2017-10-03
1578073870 Bonita May Cooke Counselor 838 Grant St., Beloit, WI 53511 2017-10-02
1821436973 Raymond K Spade Counselor 2240 Prairie Ave., Beloit, WI 53511 2013-06-11
1154663375 Lutheran Social Services of Wisconsin and Upper Michigan, Inc. Counselor 1850 Cranston Rd, Beloit, WI 53511-2544 2013-03-26
1750621504 Nancy Richardson Counselor 2627 Kadlec Dr, Beloit, WI 53511-6627 2013-02-14
1922345933 Tonya G Ramsey Counselor 250 Garden Ln, Ste 106, Beloit, WI 53511-6168 2013-01-10
1285954065 Joanne Roberts Counselor 1919 Chippewa Trl, Beloit, WI 53511-3819 2010-06-03
1235316381 Bradley Ray Hawbecker Counselor 2240 Praire Ave, 10, Beloit, WI 53511-2940 2008-01-30
1629007877 Mark W Rothfuss Counselor 207 N Mill St Ste 5, Beloit, KS 67420 2006-07-01
1306447909 Brenda May Diaz Counselor 2240 Prairie Ave, Beloit, WI 53511-2648 2020-11-02
Find all providers in BELOIT

Competitor

Search similar providers

City BELOIT
Zip Code 53511

Improve Information

Please comment or provide details below to improve the information on ANGELA PENNELL.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches