Active NPI
Alexa Licata, MA
- Professional Counselor
- Bellow Falls, VT
National Provider Identifier
1114608700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 097.0135794
- Practice address
- 94 Westminster Terrace
Bellow Falls, VT 05101-1487 - Phone
- (802) 732-8343
- Fax
- (802) 732-8344
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 097.0135794 | VT | Primary |
Addresses
Primary practice location
94 Westminster Terrace
Bellow Falls, VT 05101-1487
Mailing address
390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0135794 | VT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care & Rehabilitation Services of SE VT Inc. | Current | Accepting new patients |
Locations
94 Westminster Ter
Bellows Falls, VT 05101
Phone (802) 732-8343
390 River St
Springfield, VT 05156
Phone (802) 886-4567
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.
-
- Assisted Living Facility
- Bellows Falls, VT
- NPI 1033859525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1114608700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 RIVER STREET",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051562226",
"telephone_number": "802-886-4500",
"fax_number": "802-886-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 WESTMINSTER TERRACE",
"city": "BELLOW FALLS",
"state": "VT",
"postal_code": "051011487",
"telephone_number": "802-732-8343",
"fax_number": "802-732-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICATA",
"first_name": "ALEXA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VT",
"license": "097.0135794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellow Falls, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.