Individual provider Active NPI

Alexandra Carreira

  • Mental Health Counselor
  • West Hartford, CT
National Provider Identifier
1083393235
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5559 Issued in CT
Practice address
345 N Main St Ste 317
West Hartford, CT 06117-2508
Phone
(860) 937-3875
NPI assigned
Jul 14, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5559 CT Primary

Addresses

Primary practice location

345 N Main St Ste 317
West Hartford, CT 06117-2508

Mailing address

345 N Main St Ste 317
West Hartford, CT 06117-2508
Phone (860) 937-3875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240618002857 CT Practitioner - Mental Health Counselor 1557804507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reflections Counseling and Consulting Services LLCGroup PAC ID 9335587187, 4 clinicians

Practice addresses (Care Compare)

1177 Silas Deane Hwy
Suite 3
Wethersfield, CT 06109-4332
Phone (860) 837-0401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5559CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling and Consulting Services LLC CurrentSince Jun 3, 2024 Accepting new patients
Pinnacle Behavioral Health, PC PastSince Jul 16, 2023 Accepting new patients

Locations

1177 Silas Deane Hwy
Ste 3
Wethersfield, CT 06109
Phone (860) 805-7904

Organizations & group practices 2

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": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1083393235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST STE 317",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172508",
            "telephone_number": "860-937-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST STE 317",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172508",
            "telephone_number": "860-937-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREIRA",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "5559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.