Active NPI
Alexia Kingzette, LMFT
- Marriage & Family Therapist
- Richton Park, IL
National Provider Identifier
1851080428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 208001114
- Practice address
- 4137 Sauk TRL Ste 196
Richton Park, IL 60471-1253 - Phone
- (219) 595-0043
- Fax
- (219) 237-2894
- NPI assigned
- May 1, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85000483A | IN | |
| Marriage & Family Therapist | 106H00000X | 208001114 | IL | Primary |
Addresses
Primary practice location
4137 Sauk TRL Ste 196
Richton Park, IL 60471-1253
Mailing address
4137 Sauk TRL Ste 196
Richton Park, IL 60471-1253
Phone (219) 595-0043
Other practice location 1
9250 Columbia Ave Ste 2E
Munster, IN 46321-3530
Phone (219) 595-0043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85000483A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwi Clarity Clinic | Current | Accepting new patients |
Locations
9250 Columbia Ave
Ste 2E
Munster, IN 46321
Phone (219) 595-0043
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Munster, IN
- NPI 1619412160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1851080428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 SAUK TRL STE 196",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "219-595-0043",
"fax_number": "219-237-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4137 SAUK TRL STE 196",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "219-595-0043",
"fax_number": "219-237-2894"
}
],
"practiceLocations": [
{
"address_1": "9250 Columbia Ave Ste 2E",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463213530",
"country_code": "US",
"telephone_number": "219-595-0043",
"fax_number": "219-237-2894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINGZETTE",
"first_name": "ALEXIA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "85000483A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "208001114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richton Park, IL
- KBC Express Courier Service LLC
- KBC Express Transportation, LLC
- Denise Armenta Kelly, FNP-C
- Keyaira Gifts & Talents Foundation
- Keyaira Gifts & Talents Foundation
- Kreative Kinnectionz Youth Outreach Inc.
- Kyra Cares Therapeutic Inc
- Landmark of Richton Park Rehabilitation and Nursing Center
- Andria Lee
- Leorite Express Transit LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.