Individual provider Active NPI

Alexandria Hernandez Mann, LPC

  • Counselor
  • Chicago, IL
National Provider Identifier
1467054635
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.014630 Issued in IL
Practice address
155 N Michigan Ave Ste 202
Chicago, IL 60601-7940
Phone
(312) 278-3054
Fax
(312) 722-6938
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.014630 IL Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 202
Chicago, IL 60601-7940

Mailing address

5718 N Talman Ave FL 2
Chicago, IL 60659-4918
Phone (630) 740-2932

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
178.014630ILMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1467054635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 N TALMAN AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594918",
            "telephone_number": "630-740-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017940",
            "telephone_number": "312-278-3054",
            "fax_number": "312-722-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ MANN",
        "first_name": "ALEXANDRIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.014630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.