Active NPI
Alexis Edwards, CSAC, CAADC
- Addiction (Substance Use Disorder) Counselor
- Chesapeake, VA
National Provider Identifier
1104435452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0710103341
- Practice address
- 209 Research Dr Ste 102
Chesapeake, VA 23320-5995 - Phone
- (866) 934-7450
- NPI assigned
- Jul 23, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0732006478 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0733003286 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710103341 | VA | Primary |
Addresses
Primary practice location
209 Research Dr Ste 102
Chesapeake, VA 23320-5995
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other names 1
- Alexis Whaley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Alexis.Edwards@bhgrecovery.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710103341 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0732006478 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0733003286 | VA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1104435452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 RESEARCH DR STE 102",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205995",
"telephone_number": "866-934-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ALEXIS",
"name_prefix": "Mrs.",
"credential": "CSAC, CAADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0732006478",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0733003286",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710103341",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Alexis.Edwards@bhgrecovery.com",
"affiliation": "N",
"address_1": "3322 Western Branch Blvd Ste A",
"city": "Chesapeake",
"state": "VA",
"country_code": "US",
"postal_code": "233215142",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "WHALEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.