Individual provider Active NPI

Alix Siegel, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1962042234
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.016008 Issued in IL
Practice address
1165 N Clark St Ste 305
Chicago, IL 60610-7862
Phone
(312) 880-9913
Fax
(844) 787-9891
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 180.016008 IL Primary

Addresses

Primary practice location

1165 N Clark St Ste 305
Chicago, IL 60610-7862

Mailing address

1165 N Clark St Ste 305
Chicago, IL 60610-7862
Phone (312) 880-9913

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
180.016008ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Counseling Chicago Mental Health CurrentSince Jan 1, 2020 Accepting new patients

Locations

1165 N Clark St
Ste 305
Chicago, IL 60610
Phone (312) 880-9913

105 W Madison St
Ste 702
Chicago, IL 60602
Phone (312) 469-0398

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1962042234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST STE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107862",
            "telephone_number": "312-880-9913",
            "fax_number": "844-787-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST STE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107862",
            "telephone_number": "312-880-9913",
            "fax_number": "844-787-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "ALIX",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016008",
            "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 Apr 3, 2025; 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.