Active NPI
Kelly A Alexander, LPC
- Mental Health Counselor
- Franklin Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.009248
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.003362 | IL | MD | Mental Health Counselor |
| 180.009248 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Thresholds | Current | Accepting new patients | |
| The Thresholds | Mental Health | Current | Accepting new patients |
| The Thresholds | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1669488029
IL, Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1013164326
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westmont, IL
- NPI 1083590996
-
- Clinical Psychologist
- Melville, NY
- NPI 1063920841
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.