Individual provider Active NPI

Alexandra Hoerr

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1760931745
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180010561 Issued in IL
Practice address
2712 N Richmond St
Chicago, IL 60647-1712
Phone
(217) 430-9940
NPI assigned
Oct 1, 2016
Last updated
Oct 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180010561 IL Primary

Addresses

Primary practice location

2712 N Richmond St
Chicago, IL 60647-1712

Mailing address

2712 N Richmond St
Chicago, IL 60647-1712
Phone (217) 430-9940

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

LicenseStateTypeSpecialty
180010561ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Joy, P.C. CurrentSince Jul 31, 2022 Accepting new patients

Locations

1147 W Ohio St
Ste 103
Chicago, IL 60642
Phone (312) 772-9796

19630 Governors Hwy
Ste 5
Flossmoor, IL 60422
Phone (708) 481-4257

112 Boeykens Pl
Ste 4D
Normal, IL 61761

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.

NPI Registry JSON

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475280000000",
    "number": "1760931745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 N RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471712",
            "telephone_number": "217-430-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 N RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471712",
            "telephone_number": "217-430-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERR",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.