Active NPIIndividual providerSole proprietor

Joseph Angerillo, MA QMHP, CADC-I

Counselor, Mental Health in Salem, Oregon

NPI Number1740677350
Practice location
3325 Harold Dr NE, Salem, OR 97305-1339
Fax
—
Last updated
August 12, 2019

Joseph Angerillo, MA QMHP, CADC-I is a Counselor, Mental Health based in Salem, OR. Joseph Angerillo, MA QMHP, CADC-I holds the professional credentials of MA QMHP, CADC-I. The NPI number for Joseph Angerillo, MA QMHP, CADC-I is 1740677350 and holds license No. T-18-401. The current practice location address is 3325 Harold Dr NE, Salem, OR 97305-1339 and the office can be reached by phone at 503-363-2021. The NPI was assigned on April 21, 2015 and the record was last updated in NPPES on August 12, 2019.

●Provider Profile Details

NPI Number
1740677350
Provider Name
Joseph Angerillo
Credential
MA QMHP, CADC-I
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Enumeration Date
April 21, 2015
Last Update Date
August 12, 2019
NPI Status
Active

◉Business Practice Location Address

Address
3325 Harold Dr NE
Salem, OR 97305-1339
City
Salem
State
Oregon
ZIP
97305-1339
Country
US
Phone Number
503-363-2021

Get directions →

✉Business Mailing Address

Address
3325 Harold Dr NE
Salem, OR 97305-1339
City
Salem
State
OR
ZIP
97305-1339
Phone Number
503-363-2021

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)101YA0400XNoT-18-401—
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Joseph Angerillo, MA QMHP, CADC-I?

The NPI number of Joseph Angerillo, MA QMHP, CADC-I is 1740677350. It was assigned on April 21, 2015 and is currently active in the NPPES registry.

What is the specialty of Joseph Angerillo, MA QMHP, CADC-I?

Joseph Angerillo, MA QMHP, CADC-I is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. T-18-401.

Where does Joseph Angerillo, MA QMHP, CADC-I practice?

The practice location is 3325 Harold Dr NE, Salem, OR 97305-1339. The office can be reached at 503-363-2021 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740677350 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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