Provider Demographics
NPI:1740392034
Name:BELLINGHAUSEN, ANGELA CHRISTINE (LPC, LIMHP LADC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CHRISTINE
Last Name:BELLINGHAUSEN
Suffix:
Gender:F
Credentials:LPC, LIMHP LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 SOUTHPARK RD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:CO
Mailing Address - Zip Code:80816-8991
Mailing Address - Country:US
Mailing Address - Phone:402-253-4277
Mailing Address - Fax:
Practice Address - Street 1:2421 SOUTHPARK RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:CO
Practice Address - Zip Code:80816-8991
Practice Address - Country:US
Practice Address - Phone:402-253-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE145101YP2500X
101YP2500X
NE339101YA0400X
CO.0019291101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100250576-00Medicaid
NE47083066227Medicaid
NE47083066230Medicaid
NE84734OtherBXBS
NE47083066228Medicaid
NE47083066226Medicaid