Individual provider Active NPI

Alicia C Urven, LCPC

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1982211967
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013154 Issued in IL
Practice address
710 N 8TH St
Springfield, IL 62702-6324
Phone
(217) 525-1064
Fax
(217) 525-1651
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.013154 IL Primary

Addresses

Primary practice location

710 N 8TH St
Springfield, IL 62702-6324

Mailing address

710 N 8TH St
Springfield, IL 62702-6324
Phone (217) 525-1064

Other practice location 1

901 N 1st St
Springfield, IL 62702-3759
Phone (217) 788-4065

Other identifiers 1

IdentifierTypeStateIssuer
180.013154OtherILLCPC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240101000272 IL Practitioner - Mental Health Counselor 6305296500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 N 8TH St
Springfield, IL 62702-6324
Phone (217) 525-1064

901 N 1St St
Suite 225
Springfield, IL 62702-3760
Phone (217) 788-4065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.013154ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Centers of Central Illinois Professional CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Centers of Central Illinois CurrentSince Jan 1, 2024 Accepting new patients

Locations

515 N College St
Lincoln, IL 62656
Phone (217) 732-9681

3225 Hedley Rd
Springfield, IL 62711
Phone (217) 726-6700

901 N 1st St
Springfield, IL 62702
Phone (217) 588-2660

901 N 1st St
Ste 225
Springfield, IL 62702
Phone (217) 523-2217

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1982211967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 8TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026324",
            "telephone_number": "217-525-1064",
            "fax_number": "217-525-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 8TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026324",
            "telephone_number": "217-525-1064",
            "fax_number": "217-525-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627023759",
            "country_code": "US",
            "telephone_number": "217-788-4065",
            "fax_number": "217-788-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URVEN",
        "first_name": "ALICIA",
        "middle_name": "C",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC LICENSE",
            "identifier": "180.013154",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.