Individual provider Active NPI

Alesia Oscea Hawkins-Jones, PH.D.

  • Clinical Psychologist
  • Rockford, IL
National Provider Identifier
1609007699
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
NA Issued in SC
Practice address
1601 Parkview Ave
Rockford, IL 61107
Phone
(815) 395-5716
Fax
(815) 395-5801
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NA SC Primary

Addresses

Primary practice location

1601 Parkview Ave
Rockford, IL 61107

Mailing address

1601 Parkview Ave
Rockford, IL 61107-1822
Phone (815) 395-5716

Other identifiers 1

IdentifierTypeStateIssuer
071008387OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130518000046 IL Practitioner - Clinical Psychologist 1850538471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Hawkins Resilience and Wellness, PLLC Clinical Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 18, 2018 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Jun 18, 2018 Accepting new patients

Locations

2170 Pearl St
Belvidere, IL 61008
Phone (815) 395-5886

1221 E State St
Rockford, IL 61104
Phone (815) 972-1000

1601 Parkview Ave
Rockford, IL 61107
Phone (815) 395-0600

1511 N Blackhawk Blvd
Rockton, IL 61072
Phone (815) 395-5879

Organizations & group practices 4

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": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1609007699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PARKVIEW AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071822",
            "telephone_number": "815-395-5716",
            "fax_number": "815-395-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PARKVIEW AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61107",
            "telephone_number": "815-395-5716",
            "fax_number": "815-395-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS-JONES",
        "first_name": "ALESIA",
        "middle_name": "OSCEA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "071008387",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.