Alexandra Josephine Dorn, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

150 W 1St St Ste 270
New Richmond, WI 54017-1770

Phone

(715) 246-4840

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Counseling Center, LLCGroup PAC ID 3577006758, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Lakeside Counseling Center, LLC

  • Mental Health Counselor
  • Madison, WI
  • NPI 1215443882

  Professional, WI

  Medicare reassignment Care Compare group NPD
• Family Therapy Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Richmond, WI
  • NPI 1215239736
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1124668173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 1ST ST STE 270",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171770",
            "telephone_number": "715-246-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 1ST ST STE 270",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171770",
            "telephone_number": "715-246-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "ALEXANDRA",
        "middle_name": "JOSEPHINE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Dietzler, MD
• Wendy J Dixen-Dadez, PT
• Doctorleo LLC
• Jennifer Dombovy, LICSW
• Lisa Anne Dorenbush, OTR/L
• Benjamin Ward Dummer, MD
• Melissa Jean Dyshaw, D.P.T.
• Jean Anna Edwards, M.S.T. CCC-SLP
• Katherine Ellis, PT
• Kelley K Emerson-Quarne, MSW

• All providers in New Richmond, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.