Active NPI
Alyssa Hildebrand
- Counselor
- Normal, IL
National Provider Identifier
1710533427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 705 E Lincoln St Ste 116
Normal, IL 61761-6406 - Phone
- (309) 431-1442
- NPI assigned
- Aug 18, 2019
- Last updated
- Aug 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
705 E Lincoln St Ste 116
Normal, IL 61761-6406
Mailing address
705 E Lincoln St Ste 116
Normal, IL 61761-6406
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakesa Pina, PHD: Counseling, Consulting, and Training, PLLC | Current | Accepting new patients |
Locations
705 E Lincoln St
Ste 116
Normal, IL 61761
Phone (309) 431-1442
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.
-
- Marriage & Family Therapist
- Normal, IL
- NPI 1881440089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566086400000",
"number": "1710533427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E LINCOLN ST STE 116",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E LINCOLN ST STE 116",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616406",
"telephone_number": "309-431-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-18",
"last_updated": "2019-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.