Active NPI
Alexis Mercedes Gregorash
- Professional Counselor
- Homer Glen, IL
National Provider Identifier
1114708765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.019279
- Practice address
- 14933 Founders Xing
Homer Glen, IL 60491-6712 - Phone
- (708) 737-7968
- NPI assigned
- Oct 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.019279 | IL | Primary |
Addresses
Primary practice location
14933 Founders Xing
Homer Glen, IL 60491-6712
Mailing address
902 State St Apt 2R
Lemont, IL 60439-3981
Phone (815) 582-6252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019279 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Healing | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1114708765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 STATE ST APT 2R",
"city": "LEMONT",
"state": "IL",
"postal_code": "604393981",
"telephone_number": "815-582-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14933 FOUNDERS XING",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604916712",
"telephone_number": "708-737-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORASH",
"first_name": "ALEXIS",
"middle_name": "MERCEDES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.