Individual provider Active NPI

Alexandra Weiskittel, LPCC

  • Professional Counselor
  • North Ridgeville, OH
National Provider Identifier
1104315548
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2002847 Issued in OH
Practice address
6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone
(440) 327-1800
Fax
(440) 327-1533
NPI assigned
May 1, 2018
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C1901818-TRNE OH
Professional Counselor 101YP2500X C.2002847 OH Primary
Community Health Worker 172V00000X NU

Addresses

Primary practice location

6401 Jaycox Rd
North Ridgeville, OH 44039-1611

Mailing address

6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone (440) 327-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260320001108 OH Practitioner - Mental Health Counselor 2163906876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

26086 Rose Rd
Westlake, OH 44145-5468

6401 Jaycox Rd
North Ridgeville, OH 44039-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1901818-TRNEOHMDCounselor
C.2002847OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth a. de Luca,PH.D. & Associates, Inc. CurrentSince Jan 29, 2023 Accepting new patients

Locations

6401 Jaycox Rd
North Ridgeville, OH 44039
Phone (440) 452-1292

26404 Center Ridge Rd
Bldg B
Westlake, OH 44145

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1104315548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391611",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391611",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISKITTEL",
        "first_name": "ALEXANDRA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C1901818-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2002847",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.