Individual provider Active NPI

Alexandra Colaianni, MS, LCSW

  • Clinical Social Worker
  • Hinsdale, IL
National Provider Identifier
1366956237
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019507 Issued in IL
Practice address
522 Chestnut St
Hinsdale, IL 60521-3171
Phone
(630) 321-1073
NPI assigned
Nov 29, 2017
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 149019507 IL
Clinical Social Worker 1041C0700X 149019507 IL Primary

Addresses

Primary practice location

522 Chestnut St
Hinsdale, IL 60521-3171

Mailing address

589 Beaconsfield Ave
Naperville, IL 60565-4311
Phone (623) 826-2771

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
149019507ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Balance Integrative Therapy, LLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1366956237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 BEACONSFIELD AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654311",
            "telephone_number": "623-826-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213171",
            "telephone_number": "630-321-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAIANNI",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "MS, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149019507",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.