Active NPI 1760240030 Individual Practitioner Female Practitioner

Alex Jordan Nelson , BA, LBS1, PEL

Counselor - School • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Alex Nelson, BA, LBS1, PEL is a registered healthcare professional specializing in Counselor - School in Chicago, IL. Practice services are available at 3319 N ELSTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3319 N Elston Ave

Chicago, IL 606185811

Telephone 3127330883

Associated Practice Facility / Clinic

🏢 Lake Mi Mobile Doctors, P.c. Facility NPI 1437106465

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - School in Chicago, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

19 Specialists

Practicing in Chicago, IL (48 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-11

Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

State License IL 1240039

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Liberty Abegglen

Behavior Technician

NPI 1013770304

Kevin O'malley , BA

Specialist/Technologist

NPI 1023474806

Bachelor of Arts

Allyson Sussman , MS

Speech-Language Pathologist

NPI 1023707163

Master of Science

Marcela Garcia

Speech-Language Pathologist

NPI 1033095229

Samantha Friedberg

Speech-Language Pathologist

NPI 1033770599

Regina Garza Elizondo

Behavior Technician

NPI 1043086622

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 11, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2024

Registered at 3319 N ELSTON AVE, CHICAGO, IL 606185811 (Tel: 3127330883)

📍

Updated Business Mailing Address March 11, 2024

Registered at 3319 N ELSTON AVE, CHICAGO, IL 606185811 (Tel: 3127330883)

👤

Provider Name / Credentials Updated March 11, 2024

Recorded as ALEX NELSON, BA, LBS1, PEL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2024

Counselor (License #1240039 in IL)

🟢

Initial NPI Registration & Enumeration March 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1760240030

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 11, 2024

Last Update: March 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3319 N Elston Ave

Chicago, IL 606185811

Phone: 3127330883

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.