Organization Active NPI

Shawnte Jenkins-Alexander, Ed.D. LCPC. LTD

  • Preferred Provider Organization
  • Chicago, IL
National Provider Identifier
1972129625
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
SHAWNTE JENKINS-ALEXANDER, ED.D. LCPC. LTD
Practice address
155 N Michigan Ave Ste 328
Chicago, IL 60601-7591
Phone
(312) 259-6630
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Dr. Shawnte Renee Alexander, ED.D, LCPC
Title
President
Phone
(312) 259-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 328
Chicago, IL 60601-7591

Mailing address

838 E 52ND St Unit 3E
Chicago, IL 60615-3758
Phone (312) 259-6630

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mail.google.com/mail/u/1/#inbox

National Provider Directory

National Provider Directory

Locations

155 N Michigan Ave
Ste 328
Chicago, IL 60601
Phone (312) 259-6630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1972129625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E 52ND ST UNIT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153758",
            "telephone_number": "312-259-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 328",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017591",
            "telephone_number": "312-259-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNTE JENKINS-ALEXANDER, ED.D. LCPC. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SHAWNTE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-259-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, LCPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/mail/u/1/#inbox",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "address_1": "155 N Michigan Ave Ste 328",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606017591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 18, 2020; 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.