Individual provider Active NPI

Myriam Alexandre, MSW

  • Addiction (Substance Use Disorder) Counselor
  • Chula Vista, CA
National Provider Identifier
1043597370
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RI-A1111151016 Issued in CA
Practice address
1161 3Rd Ave
Chula Vista, CA 91911-3136
Phone
(619) 498-8260
Fax
(619) 498-8265
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RI-A1111151016 CA Primary

Addresses

Primary practice location

1161 3Rd Ave
Chula Vista, CA 91911-3136

Mailing address

1161 3Rd Ave
Chula Vista, CA 91911-3136
Phone (619) 498-8260

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
RI-A1111151016CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1043597370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113136",
            "telephone_number": "619-498-8260",
            "fax_number": "619-498-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113136",
            "telephone_number": "619-498-8260",
            "fax_number": "619-498-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDRE",
        "first_name": "MYRIAM",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-A1111151016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.