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Deactivated NPI 1093959629 Deactivated / Inactive NPI Female Practitioner

Angela Tanney

Counselor • Freeport, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Angela Tanney has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2009
NPI Deactivation Date March 09, 2020
Total Practice Duration ~11 Years of Practice (2009 – 2020)

Professional Overview & Biography Verified Profile Summary

Angela Tanney was a registered Counselor practicing in Freeport, IL. Throughout an active medical career spanning 11 years, Angela Tanney provided care at the practice location at 421 W EXCHANGE ST until profile deactivation on 2020-03-09.

Practice Location & Contact Primary Location

Practice Address

421 W Exchange St

Freeport, IL 610324008

Telephone 8155997300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Freeport, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
40 Specialists

Practicing in Freeport, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Connie Onley

Registered Nurse

NPI 1003549650
Deborah Burnell , LCSW

Social Worker - Clinical

NPI 1003864968

Licensed Clinical Social Worker

NPI 1033688973
NPI 1043488984
Earl Brookover

Social Worker - Clinical

NPI 1043644990
Anderson Boatman , LPC

Counselor - Professional

NPI 1043721665

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated March 09, 2020

Record deactivated on March 09, 2020

NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2017

Registered at 111 W 15TH ST, DAVENPORT, IA 528034609 (Tel: 5633227419)

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Updated Business Mailing Address August 17, 2017

Registered at 111 W 15TH ST, DAVENPORT, IA 528034609

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Provider Name / Credentials Updated August 17, 2017

Recorded as ANGELA ESTES

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Counselor (License #084877 in IA)

NPI Profile Active April 27, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 27, 2009

Registered at 421 W EXCHANGE ST, FREEPORT, IL 610324008 (Tel: 8155997300)

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Updated Business Mailing Address April 27, 2009

Registered at 421 W EXCHANGE ST, PO BOX 813, FREEPORT, IL 610324008

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Provider Name / Credentials Updated April 27, 2009

Recorded as ANGELA TANNEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2009

Counselor

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Initial NPI Registration & Enumeration April 27, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093959629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2009
Last Update: April 27, 2009
Deactivation Date: March 09, 2020

Mailing Address

421 W Exchange St, Po Box 813

Freeport, IL 610324008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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