Individual provider Active NPI

Alexandra Martin, LPC

  • Professional Counselor
  • Windsor, CO
National Provider Identifier
1114679560
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020503 Issued in CO
Practice address
1204 W Ash St Unit a
Windsor, CO 80550-4660
Phone
(970) 310-3406
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0020503 CO
Professional Counselor 101YP2500X LPC.0020503 CO Primary

Addresses

Primary practice location

1204 W Ash St Unit a
Windsor, CO 80550-4660

Mailing address

208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 310-3406

Other practice location 1

208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 310-3406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240713000536 CO Practitioner - Mental Health Counselor 4385189315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

7780 S Broadway
Suite 300
Littleton, CO 80122-2633
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0020503COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Mental Health Current Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Apr 27, 2024 Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Apr 27, 2024 Accepting new patients

Locations

304 Inverness Way S
Ste 225
Englewood, CO 80112
Phone (720) 255-8730

208 Racquette Dr
Fort Collins, CO 80524
Phone (970) 222-5128

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

7780 S Broadway
Ste 300
Littleton, CO 80122
Phone (720) 902-6747

1204 W Ash St
Unit A
Windsor, CO 80550
Phone (970) 236-7736

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1114679560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 RACQUETTE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244851",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W ASH ST UNIT A",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504660",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Racquette Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244851",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALEXANDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0020503",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.