Active NPI
David Alexander, M.ED., L.P.C.
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1114900941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11719
- Practice address
- 901 Wallace Blvd
BLDG. 501
Amarillo, TX 79106-1705 - Phone
- (806) 349-5653
- NPI assigned
- Nov 25, 2005
- Last updated
- Sep 8, 2008
- Sex
- Male
- 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 | 11719 | TX | Primary |
Addresses
Primary practice location
901 Wallace Blvd
BLDG. 501
Amarillo, TX 79106-1705
Mailing address
901 Wallace Blvd
BLDG. 501
Amarillo, TX 79106-1705
Phone (806) 349-5653
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095934803 | Medicaid | TX | |
| 0959348-02 | Medicaid | TX |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11719 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1114900941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WALLACE BLVD",
"address_2": "BLDG. 501",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061705",
"telephone_number": "806-349-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WALLACE BLVD",
"address_2": "BLDG. 501",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061705",
"telephone_number": "806-349-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "DAVID",
"credential": "M.ED., L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "11719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095934803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0959348-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.