Active NPI
Alexia Evangelodimos, LPC
- Professional Counselor
- Northbrook, IL
National Provider Identifier
1881074995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.009769
- Practice address
- 350 Pfingsten Rd
Suite 101
Northbrook, IL 60062-2032 - Phone
- (224) 723-5772
- NPI assigned
- Jun 3, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.009769 | IL | Primary |
Addresses
Primary practice location
350 Pfingsten Rd
Suite 101
Northbrook, IL 60062-2032
Mailing address
350 Pfingsten Rd
Suite 101
Northbrook, IL 60062-2032
Phone (224) 723-5772
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.009769 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Pathways PLLC | Past | Accepting new patients |
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.
-
- Psychologist
- Northbrook, IL
- NPI 1902292048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1881074995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PFINGSTEN RD",
"address_2": "SUITE 101",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622032",
"telephone_number": "224-723-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PFINGSTEN RD",
"address_2": "SUITE 101",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622032",
"telephone_number": "224-723-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANGELODIMOS",
"first_name": "ALEXIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.009769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.