Individual provider Active NPI

Alexia Kingzette, LMFT

  • Marriage & Family Therapist
  • Richton Park, IL
National Provider Identifier
1851080428
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
208001114 Issued in IL
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

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85000483AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Clarity Clinic CurrentSince Nov 1, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.