Individual provider Active NPI

Alexandra Kay Nagg, LPC, NCC

  • Counselor
  • Salina, PA
National Provider Identifier
1053604009
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC005869 Issued in PA
Practice address
306 Whitesell Street
Salina, PA 15680-0092
Phone
(724) 681-7915
NPI assigned
May 24, 2011
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC005869 PA Primary

Addresses

Primary practice location

306 Whitesell Street
Salina, PA 15680-0092

Mailing address

PO Box 92
Salina, PA 15680-0092
Phone (724) 681-7915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240905004906 PA Practitioner - Mental Health Counselor 6800172180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

655 Church St
Suite 304
Indiana, PA 15701-2789
Phone (724) 717-6481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Wellness of Indiana County, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

655 Church St
Ste 304
Indiana, PA 15701
Phone (724) 717-6481

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, 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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1053604009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "SALINA",
            "state": "PA",
            "postal_code": "156800092",
            "telephone_number": "724-681-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WHITESELL STREET",
            "city": "SALINA",
            "state": "PA",
            "postal_code": "156800092",
            "telephone_number": "724-681-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGG",
        "first_name": "ALEXANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC005869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.