Active NPI
Sigrid Alexandersen
- Professional Counselor
- Chicago, IL
National Provider Identifier
1124493002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178010394
- Practice address
- 100 W Chestnut St
#604
Chicago, IL 60610-3225 - Phone
- (312) 213-2530
- NPI assigned
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 178010394 | IL | Primary |
Addresses
Primary practice location
100 W Chestnut St
#604
Chicago, IL 60610-3225
Mailing address
100 W Chestnut St
#604
Chicago, IL 60610-3225
Phone (312) 213-2530
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 |
|---|---|---|---|---|
| I20240517001711 | IL | Practitioner - Mental Health Counselor | 5698116994 | Practice locations: Chicago, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1702 W Carmen Ave
Apt 1W
Chicago, IL 60640-8696
Phone (312) 213-2530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178010394 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1124493002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W CHESTNUT ST",
"address_2": "#604",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103225",
"telephone_number": "312-213-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W CHESTNUT ST",
"address_2": "#604",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103225",
"telephone_number": "312-213-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDERSEN",
"first_name": "SIGRID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178010394",
"primary": true
}
],
"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 Dec 3, 2015; 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.