Alexia Newbern, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180015099 Issued in IL

Practice address

118 Wilson St
Park Forest, IL 60466-1365

Phone

(630) 276-8872

NPI assigned

May 13, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tru Divine Counseling & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Park Forest, IL
  • NPI 1073203576
  NPD Authorized official

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1639816465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WILSON ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WILSON ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661365",
            "telephone_number": "630-276-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERN",
        "first_name": "ALEXIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-08-03",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178016312",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keon Moore
• Natalie Morgan, DDS
• Lynn Murphy
• Victor Thomas Needham Jr., MA,CRADC,NCC
• Stanley Nevels Jr.
• Jennifer N Nwosu
• Oakwoods Center
• Melrose Ogunleye
• Oluwatoyin Ogunsola
• Tenisha Oliver

• Professional Counselor in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.