Individual provider Active NPI

Alexandria Katherine Stevens, LPC

  • Mental Health Counselor
  • Marion, IL
National Provider Identifier
1982416004
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178021005 Issued in IL
Practice address
4505 W Deyoung St Ste 203C
4505 W Deyoung St Ste 203C
Marion, IL 62959-5899
Phone
(618) 283-2222
Fax
(844) 270-4161
NPI assigned
Jan 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 178021005 IL Primary

Addresses

Primary practice location

4505 W Deyoung St Ste 203C
4505 W Deyoung St Ste 203C
Marion, IL 62959-5899

Mailing address

4505 W Deyoung St Ste 203C
Marion, IL 62959-5899
Phone (618) 283-2222

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
178021005ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic, Education, and Career Services, Inc. CurrentSince Jan 26, 2025 Accepting new patients

Locations

4505 W Deyoung St
Ste 203C
Marion, IL 62959
Phone (618) 283-2222

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": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1982416004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 W DEYOUNG ST STE 203C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595899",
            "telephone_number": "618-283-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 W DEYOUNG ST STE 203C",
            "address_2": "4505 W DEYOUNG ST STE 203C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595899",
            "telephone_number": "618-283-2222",
            "fax_number": "844-270-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ALEXANDRIA",
        "middle_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178021005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.