Alexandria Allen Vincent
Individual provider Active NPI Mental Health Counselor · Meridian, MS
NPI 1134428030 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1134428030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1415 College Dr
Meridian, MS 39307-5345 - Phone
- (601) 483-4821
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1951 NW 7TH Ave
FL 3
Miami, FL 33136-1104
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251205000601 | TX | Practitioner - Mental Health Counselor | 0749773901 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Health Medical Group PA | Mental Health | Current |
Accepting new patients |
Locations
675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1415 College Dr
Meridian, MS 39307-5345
Mailing address
1415 College Dr
Meridian, MS 39307-5345
Phone (601) 483-4821
NPI Registry JSON
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1134428030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 COLLEGE DR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393075345",
"telephone_number": "601-483-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 COLLEGE DR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393075345",
"telephone_number": "601-483-4821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "ALEXANDRIA",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
- Ashley Vandewalker
- Pablo 'Paul' Y. Varela
- Jessica S. Vaughan
- Chadley T Vega
- Courtney Vermillion
- Lesley Robinson Vincent
- Richard M. Vise
- Vital Care, Inc
- Justin Vo
- Margaret Volkenant-Meurer
All providers in Meridian, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.