Active NPI
Alexis Marie Hassan Thomas, BS, SAC-IT
- Addiction (Substance Use Disorder) Counselor
- Milwaukee, WI
National Provider Identifier
1073318549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 20771130
- Practice address
- 3707 N Richards St
Milwaukee, WI 53212-1673 - Phone
- (414) 967-7006
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 20771130 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20771130 | WI | Primary |
Addresses
Primary practice location
3707 N Richards St
Milwaukee, WI 53212-1673
Mailing address
3240 Market LN Apt 4021
Kenosha, WI 53144-3477
Phone (262) 287-3757
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Alexis.HassanThomas@ctcprograms.com | Health Information Exchange (HIE) |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20771130 | WI | MD | Counselor |
Interoperability endpoints
- alexis.hassanthomas@ctcprograms.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1073318549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 MARKET LN APT 4021",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531443477",
"telephone_number": "262-287-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 N RICHARDS ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121673",
"telephone_number": "414-967-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN THOMAS",
"first_name": "ALEXIS",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "BS, SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "20771130",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "20771130",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Alexis.HassanThomas@ctcprograms.com",
"affiliation": "N",
"endpointDescription": "Professional Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3707 N Richards St",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532121673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.