Javier Steven Alonso, LPC, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wilmette, IL
NPI 1629200795 · NPPES record last updated Aug 11, 2011
Key facts
- NPI
- 1629200795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 24817 (IL)
- Practice address
- 3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058 - Phone
- (847) 251-7350
- Fax
- (847) 853-2600
- NPI assigned
- Aug 21, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24817 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 178.004157 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Center of Wilmette Glenview Northbrook Kenilworth | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24817 | IL | Yes |
| Professional Counselor | 101YP2500X | 178.004157 | IL |
Addresses
Primary practice location
3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058
Mailing address
3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058
Phone (847) 251-7350
Other providers in Wilmette, IL
- Sheila Ahranjani
- John Trinidad Alano
- Lisa Braband Albrighton
- Alia Ezziddin D.M.D., P.C.
- Rhodora Luzod Allado
- Ellen Sachs Alter
- Alternative Rehabilitation & Therapeutic Services, LLC
- Roberto Amato
- American Drug Stores LLC
- Amy Anson, PH.D., & Associates, LLC
All providers in Wilmette, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.