Individual provider Active NPI

Alexis Caliendo, LPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1215625629
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178018352 Issued in IL
Practice address
924 W 75TH St Ste 120-293
Naperville, IL 60565-6193
Phone
(708) 566-6521
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178018352 IL Primary

Addresses

Primary practice location

924 W 75TH St Ste 120-293
Naperville, IL 60565-6193

Mailing address

924 W 75TH St Ste 120-293
Naperville, IL 60565-6193
Phone (708) 566-6521

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

State licenses

LicenseStateTypeSpecialty
178018352ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Bloom Psychology PLLC CurrentSince Jun 25, 2023 Accepting new patients
Rewrite Therapy Co. Current Accepting new patients

Locations

1919 S Highland Ave
Ste 200D
Lombard, IL 60148
Phone (708) 566-6516

924 W 75th St
Ste 120293
Naperville, IL 60565
Phone (708) 566-6521

Organizations & group practices 2

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1215625629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W 75TH ST STE 120-293",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656193",
            "telephone_number": "708-566-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 W 75TH ST STE 120-293",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656193",
            "telephone_number": "708-566-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIENDO",
        "first_name": "ALEXIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178018352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.