Alexandra B Maxwell, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1460 Walton Blvd BLDG Suite60
Rochester Hills, MI 48309-1768

Phone

(248) 608-4514

NPI assigned

May 29, 2024

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

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• Tree of Life Counseling Services LLC

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  • NPI 1023537495
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1114767050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD BLDG SUITE60",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "248-608-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD BLDG SUITE60",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "248-608-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ALEXANDRA",
        "middle_name": "B",
        "credential": "LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451023665",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anissa R Mattison, D.O.
• Nancy Lynn Mattoni, NURSE PRACTIONER
• Jennifer Lynne Matyn, LMT
• Noelle Marie Maude, NP
• Ami K Mavani, M.D.
• Alexandra May, DPT
• Octave Anquan May
• Mazen Sabbaq M.D. P.C.
• Mazher Hussain MD, PC
• James P McBride, MD

• Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.