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ANGELLA MARIA LEWIS LCPC
NPI 1356088728
Counselor - Professional in Peoria, IL

Active since May 17, 2022PECOS Enrolled
6511 N RANDWICK RD, PEORIA, IL 61615(309) 635-5655 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angella Maria Lewis Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELLA MARIA LEWIS LCPC (NPI 1356088728) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.014333) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356088728
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELLA MARIA LEWISCredential: LCPC
Location Address6511 N RANDWICK RDPeoria, IL 61615-2532
Mailing Address6511 N Randwick RdPeoria, IL 61615-2532 · (309) 635-5655
Phone(309) 635-5655
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1356088728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.014333
6511 N RANDWICK RD, Peoria, IL 61615
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angella Maria Lewis Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325529118
PECOS Enrollment IDI20260219002595
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angella Lewis's NPI number?

The NPI number for Angella Lewis is 1356088728. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Angella Lewis located?

Angella Lewis practices at 6511 N Randwick Rd, Peoria, IL 61615. The listed phone number is (309) 635-5655.

What is Angella Lewis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Angella Lewis enrolled in Medicare?

Yes. Angella Lewis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angella Lewis was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.