Provider Demographics
NPI:1881278315
Name:HUGHES, ANGEL MARIE (LCPC)
Entity type:Individual
Prefix:MS
First Name:ANGEL
Middle Name:MARIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 W GARFIELD BLVD APT GARDENB
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60609-5600
Mailing Address - Country:US
Mailing Address - Phone:312-586-6241
Mailing Address - Fax:
Practice Address - Street 1:1934 W GARFIELD BLVD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-5600
Practice Address - Country:US
Practice Address - Phone:312-586-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.015844101YM0800X, 101YP2500X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL126365370Medicaid
IL16365370Medicaid
IL1881278315Medicaid
IL180.015844OtherIDPFR