Active NPI
Alexander George Bauman, LCSW, CADC, CODP-1
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.029227
- Practice address
- 680 North Lake Shore Drive Suite 110 - 1993
Chicago, IL 60611 - Phone
- (630) 426-9437
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 39359 | IL | |
| Clinical Social Worker | 1041C0700X | .17890 | SC | |
| Mental Health Counselor | 101YM0800X | 2092-122 | WI | |
| Clinical Social Worker | 1041C0700X | 6801120339 | MI | |
| Mental Health Counselor | 101YM0800X | .09932084 | CO | |
| Clinical Social Worker | 1041C0700X | 149.029227 | IL | Primary |
| Mental Health Counselor | 101YM0800X | 140311 | IA | |
| Mental Health Counselor | 101YM0800X | 5368 | HI | |
| Clinical Social Worker | 1041C0700X | 2092-122 | WI | |
| Mental Health Counselor | 101YM0800X | 6801120339 | MI | |
| Mental Health Counselor | 101YM0800X | .17890 | SC | |
| Clinical Social Worker | 1041C0700X | .09932084 | CO | |
| Mental Health Counselor | 101YM0800X | 149.029227 | IL | |
| Clinical Social Worker | 1041C0700X | 140311 | IA | |
| Clinical Social Worker | 1041C0700X | 5368 | HI |
Addresses
Primary practice location
680 North Lake Shore Drive Suite 110 - 1993
Chicago, IL 60611
Mailing address
680 North Lake Shore Drive Suite 110 - 1993
Chicago, IL 60611
Phone (312) 330-2561
Other practice location 1
200 N Vineyard Blvd Ste. A325 # 5532
Honolulu, HI 96817
Phone (630) 426-9437
Other practice location 2
1542 Flammang Dr #1051
Waterloo, IA 50702
Phone (630) 426-9437
Other practice location 3
1905 Sherman Street Ste 200 2158, Denver, CO 80203-0421
Denver, CO 80203
Phone (630) 426-9437
Other practice location 4
#1216 78 Folly Road Ste B9
Charleston, SC 29407
Phone (630) 426-9437
Other practice location 5
2001 N Doctor M.L.K. Jr Dr #524
Milwaukee, WI 53212
Phone (630) 426-9437
Other practice location 6
3534 Clarence Ave
Berwyn, IL 60402-3855
Phone (312) 330-2561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260605003101 | IL | Practitioner - Clinical Social Worker | 6608347075 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
932 W Washington Blvd
Chicago, IL 60607-2217
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39359 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 149.029227 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Abundant Life Therapy | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1905 N Sherman St
Ste 200
Denver, CO 80203
Phone (720) 683-0389
200 N Vineyard Blvd
Ste A325
Honolulu, HI 96817
Phone (808) 392-4813
680 N Lake Shore Dr
Ste 110
Chicago, IL 60611
Phone (630) 283-7980
78 Folly Road Blvd
Ste B9
Charleston, SC 29407
Phone (630) 426-9437
2001 N Mlk Dr
Milwaukee, WI 53212
Phone (630) 426-9437
Interoperability endpoints
- alexander.bauman.p1@direct.hcenter.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Berwyn, IL
- NPI 1184592875
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1073233003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 NORTH LAKE SHORE DRIVE SUITE 110 - 1993",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-330-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 NORTH LAKE SHORE DRIVE SUITE 110 - 1993",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "630-426-9437"
}
],
"practiceLocations": [
{
"address_1": "200 N Vineyard Blvd Ste. A325 # 5532",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "96817",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1542 Flammang Dr #1051",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "50702",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 Sherman Street Ste 200 2158, Denver, CO 80203-0421",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80203",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "#1216 78 Folly Road Ste B9",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "29407",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 N Doctor M.L.K. Jr Dr #524",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53212",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3534 Clarence Ave",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "IL",
"postal_code": "604023855",
"country_code": "US",
"telephone_number": "312-330-2561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMAN",
"first_name": "ALEXANDER",
"middle_name": "GEORGE",
"credential": "LCSW, CADC, CODP-1",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "39359",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": ".17890",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "2092-122",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801120339",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": ".09932084",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.029227",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "140311",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "5368",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "2092-122",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801120339",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": ".17890",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": ".09932084",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149.029227",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "140311",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "5368",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.