Individual provider Active NPI

Alexis Aubrey Treanor, LPC, ATR-BC, ACS

  • Professional Counselor
  • Succasunna, NJ
National Provider Identifier
1063271773
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00636500 Issued in NJ
Practice address
4 Andre Dr
Succasunna, NJ 07876-1802
Phone
(973) 943-0222
NPI assigned
Mar 15, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00636500 NJ
Professional Counselor 101YP2500X 37PC00636500 NJ Primary
Art Therapist 221700000X 18-196 NJ

Addresses

Primary practice location

4 Andre Dr
Succasunna, NJ 07876-1802

Mailing address

4 Andre Dr
Succasunna, NJ 07876-1802
Phone (973) 943-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260622001812 NJ Practitioner - Mental Health Counselor 4981177961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

479 State RT
17 1119
Mahwah, NJ 07430

PO Box
Suite 51
New Milford, NJ 07646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00636500NJMDMental Health Counselor
18-196NJMDArt Therapist

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1063271773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ANDRE DR",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761802",
            "telephone_number": "973-943-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ANDRE DR",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761802",
            "telephone_number": "973-943-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREANOR",
        "first_name": "ALEXIS",
        "middle_name": "AUBREY",
        "credential": "LPC, ATR-BC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00636500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00636500",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "18-196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

Verify at the official NPI Registry.