Individual provider Active NPI

Alexander Reinhold Bielesch, LPC, BCBA

  • Behavior Analyst
  • Rolling Meadows, IL
National Provider Identifier
1194204495
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-51396 Issued in IL
Practice address
1951 Rohlwing Rd Ste C
Rolling Meadows, IL 60008-1300
Phone
(847) 961-2679
NPI assigned
Aug 8, 2018
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-51396 IL Primary

Addresses

Primary practice location

1951 Rohlwing Rd Ste C
Rolling Meadows, IL 60008-1300

Mailing address

1951 Rohlwing Rd Ste C
Rolling Meadows, IL 60008-1300
Phone (773) 315-3177

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1194204495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 ROHLWING RD STE C",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081300",
            "telephone_number": "773-315-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 ROHLWING RD STE C",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081300",
            "telephone_number": "847-961-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELESCH",
        "first_name": "ALEXANDER",
        "middle_name": "REINHOLD",
        "name_prefix": "Mr.",
        "credential": "LPC, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-21-51396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.