Active NPI
Alondra Anderson
- Counselor
- Belleville, IL
National Provider Identifier
1982252201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.012449
- Practice address
- 12 N 64TH St
Belleville, IL 62223-3809 - Phone
- (618) 397-0093
- NPI assigned
- Aug 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Counselor | 101Y00000X | 180.012449 | IL | Primary |
Addresses
Primary practice location
12 N 64TH St
Belleville, IL 62223-3809
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
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 |
|---|---|---|---|
| 180.012449 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1982252201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 MARTIN LUTHER KING DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N 64TH ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622233809",
"telephone_number": "618-397-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ALONDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.012449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.