Alexandria Joann Hummel

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149024257 Issued in IL

Practice address

451 Coventry LN Ste 101
Crystal Lake, IL 60014-7569

Phone

(224) 650-7167

NPI assigned

Aug 15, 2018

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alexandria Joann Conant Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beacon of Enlightenment

  • Counselor
  • Rockford, IL
  • NPI 1376200550
  Medicare reassignment NPD
• Lantern Therapy Services, LTD

  • Mental Health Counselor
  • Crystal Lake, IL
  • NPI 1619377637
  Medicare reassignment NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1487134979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 COVENTRY LN STE 101",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147569",
            "telephone_number": "224-650-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 COVENTRY LN STE 101",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147569",
            "telephone_number": "224-650-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58945 Business Center Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922847310",
            "country_code": "US",
            "telephone_number": "760-228-9657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "ALEXANDRIA",
        "middle_name": "JOANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024257",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "CONANT",
            "middle_name": "JOANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Hubbard, BCBA, LBA
• Gina Huber, PT
• Daniela Huerta de Hathaway, MD
• Sabrina Elizabeth Huerta, CNA, CCMA
• Killeen Hultgren
• Michael G Humphrey, PT
• Lori Michelle Hunter, PT
• Gordon D Husby, PT
• Joanna Hutson, NP-C
• Melissa Hutzell

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.