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Deactivated NPI 1134697337 Deactivated / Inactive NPI Male Practitioner

Angello Gonzalez

Case Manager/Care Coordinator • Columbus, OH

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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, Angello Gonzalez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 06, 2018
NPI Deactivation Date May 30, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Angello Gonzalez was a registered Case Manager/Care Coordinator practicing in Columbus, OH. Throughout an active medical career spanning 7 years, Angello Gonzalez provided care at the practice location at 1421 HAMLET ST until profile deactivation on 2025-05-30.

Practice Location & Contact Primary Location

Practice Address

1421 Hamlet St

Columbus, OH 432012533

Telephone 6142948097
Associated Practice Facility / Clinic
🏢 Huckleberry House, Inc. Facility NPI 1164481487

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
3978 Specialists

Practicing in Columbus, OH (35490 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jasmine Ayres

Case Manager/Care Coordinator

NPI 1003399049
Willis Sanders

Case Manager/Care Coordinator

NPI 1003683103
Kyra Crockett Hodge

Case Manager/Care Coordinator

NPI 1013496082
Philip Gibert

Case Manager/Care Coordinator

NPI 1013614460
Tyia Harris , QMHS

Case Manager/Care Coordinator

NPI 1033603295
Charteri Brooks-Logan

Case Manager/Care Coordinator

NPI 1033686985

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location July 28, 2025

Registered at 1421 HAMLET ST, COLUMBUS, OH 432012533 (Tel: 6142948097)

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Updated Business Mailing Address July 28, 2025

Registered at 1421 HAMLET ST, COLUMBUS, OH 432012533

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Provider Name / Credentials Updated July 28, 2025

Recorded as ANGELLO GONZALEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2025

Case Manager/Care Coordinator

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NPI Profile Deactivated May 30, 2025

Record deactivated on May 30, 2025

NPI Profile Active November 06, 2018

NPI status registered as active in NPPES database

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Updated Practice Location November 06, 2018

Registered at 1421 HAMLET ST, COLUMBUS, OH 432012533 (Tel: 6142948097)

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Updated Business Mailing Address November 06, 2018

Registered at 1421 HAMLET ST, COLUMBUS, OH 432012533

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Provider Name / Credentials Updated November 06, 2018

Recorded as ANGELLO GONZALEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2018

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration November 06, 2018

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: 1134697337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2018
Last Update: July 28, 2025
Deactivation Date: May 30, 2025
Sole Proprietor: Yes

Mailing Address

1421 Hamlet St

Columbus, OH 432012533

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.