Active NPI
Javier Steven Alonso, LPC, CADC
- Addiction (Substance Use Disorder) Counselor
- Wilmette, IL
National Provider Identifier
1629200795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24817
- Practice address
- 3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058 - Phone
- (847) 251-7350
- Fax
- (847) 853-2600
- NPI assigned
- Aug 21, 2009
- Last updated
- Aug 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24817 | IL | Primary |
| 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
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
| 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 |
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.
-
dba Family Service Center
- Marriage & Family Therapist
- Northfield, IL
- NPI 1750396289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1629200795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 LAKE AVE",
"address_2": "SUITE 200",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911058",
"telephone_number": "847-251-7350",
"fax_number": "847-853-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 LAKE AVE",
"address_2": "SUITE 200",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911058",
"telephone_number": "847-251-7350",
"fax_number": "847-853-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "JAVIER",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "LPC, CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "24817",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.004157",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
- Sheila Ahranjani, PHARM.D.
- John Trinidad Alano
- Lisa Braband Albrighton, P.T.
- Alia Ezziddin D.M.D., P.C.
- Rhodora Luzod Allado, PHARMACIST
- Ellen Sachs Alter, PHD
- Alternative Rehabilitation & Therapeutic Services, LLC (Healing A.R.T.S.)
- Roberto Amato, M.A., L.C.P.C
- American Drug Stores LLC (Osco Drug #3456)
- Amy Anson, PH.D., & Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.