Danielle Alexander
Individual provider Active NPI Professional Counselor · Northbrook, IL
NPI 1164912440 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1164912440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.012622 (IL)
- Practice address
- 60 Revere Dr
Northbrook, IL 60062-1563 - Phone
- (224) 306-1879
- NPI assigned
- May 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260603001786 | IL | Practitioner - Mental Health Counselor | 6002387776 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.012622 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.012622 | IL | Yes |
Addresses
Primary practice location
60 Revere Dr
Northbrook, IL 60062-1563
Mailing address
725 72ND St
Downers Grove, IL 60516-3940
Other providers in Northbrook, IL
- Raqaq Aderemi Alebiosu Jr.
- Jazmin Marie Alejandro
- Danielle M Alesi
- Joyce Alex
- Alexander Timchak MD LLC
- Katherine Alexander
- Paula Alexander
- Hafsa Ali
- Shaik Hyder Zishan Ali
- Align Wellness Center, P.C
All providers in Northbrook, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.