Individual provider Active NPI

Kelly A Alexander, LPC

  • Mental Health Counselor
  • Franklin Park, IL
National Provider Identifier
1164844288
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.009248 Issued in IL
Practice address
10001 Grand Ave
Franklin Park, IL 60131-2563
Phone
(847) 451-5338
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.003362 IL
Mental Health Counselor 101YM0800X 180.009248 IL Primary

Addresses

Primary practice location

10001 Grand Ave
Franklin Park, IL 60131-2563

Mailing address

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 542-2000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015005010 IL Practitioner - Mental Health Counselor 0345737037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Thresholds 20 clinicians

Practice addresses (Care Compare)

115 N Parkside Ave
Chicago, IL 60644-3040
Phone (773) 572-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.003362ILMDMental Health Counselor
180.009248ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Thresholds CurrentSince Sep 25, 2025 Accepting new patients
The Thresholds Mental Health Current Accepting new patients
The Thresholds CurrentSince Sep 25, 2025 Accepting new patients
Wellqor Psychological Services, PC Past Accepting new patients

Locations

115 N Parkside Ave
Chicago, IL 60644
Phone (773) 295-3060

4101 N Ravenswood Ave
Chicago, IL 60613
Phone (773) 572-5434

2847 N Clark St
Chicago, IL 60657
Phone (773) 537-3011

Organizations & group practices 4

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": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1164844288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081782",
            "telephone_number": "773-542-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312563",
            "telephone_number": "847-451-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.003362",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

Verify at the official NPI Registry.