MS. ANGELA BETH GILLESPIE (NPI# 1356786164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356786164 |
| Entity Type | Individual |
| Full Name | MS. ANGELA BETH GILLESPIE |
| Credential | LPC |
| Practice Address |
1326 Brooks Dr Clarksdale MS 38614-3415 |
| Mailing Address |
100 Highway 341 S Vardaman MS 38878-9222 |
| Practice Telephone | 6628367333 |
| Mailing Telephone | 6628367333 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1685 | MS | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1685 | MS | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1685 | MS | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1685 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386116390 | Angela Gillespie | Counselor | 770 W Ridge Rd Ste 220, Wytheville, VA 24382-1187 | 2019-01-02 |
| 1871962159 | Angela Kay Gillespie | Licensed Practical Nurse | 1338 Colegate Dr, Marietta, OH 45750-1329 | 2015-09-17 |
| 1336450048 | Angela Gillespie | Physician Assistant | 901 Mcclintock Drive, Suite 202, Burr Ridge, IL 60527-0872 | 2010-06-28 |
| Street Address |
1326 BROOKS DR |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598306524 | Monica L. Coleman | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2019-10-01 |
| 1861046815 | Tralezza Meshay Wilson | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2019-07-29 |
| 1184276230 | Willie George Bays II | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2019-07-09 |
| 1659934990 | Chasity Makeeva Watson | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2019-04-22 |
| 1346704327 | Tomekia L Hooper | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2019-01-24 |
| 1972067015 | Shirley Figgs | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2019-01-23 |
| 1245703842 | Dana Bell | Counselor | 122 Desoto Ave, Clarksdale, MS 38614-4420 | 2019-01-07 |
| 1457845158 | Rachel Jennifer Bouer | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2018-06-18 |
| 1780182782 | Rosalyn Washington | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2018-01-25 |
| 1750891883 | Linda Dorsey | Counselor | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2017-10-03 |
| Find all providers in CLARKSDALE | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
Please comment or provide details below to improve the information on MS. ANGELA BETH GILLESPIE.
| 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.