Individual provider Active NPI

Alexandra Solana Roa, LPCC

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1144842790
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC16623 Issued in CA
Practice address
4241 Jutland Dr Ste 207
San Diego, CA 92117-3653
Phone
(619) 733-6414
NPI assigned
May 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC16623 CA Primary

Addresses

Primary practice location

4241 Jutland Dr Ste 207
San Diego, CA 92117-3653

Mailing address

PO Box 1804
Poway, CA 92074-1804

Other practice location 1

2772 4th Ave Fl 2
San Diego, CA 92103-6206
Phone (619) 295-6067 ext. 15

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

State licenses

LicenseStateTypeSpecialty
LPCC16623CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Solana, Licensed Professional Clinical Counselor, Inc. Mental Health Current Accepting new patients
Community Research Foundation Inc PastSince Jul 1, 2021 Accepting new patients
Community Research Foundation Inc PastSince May 1, 2020 Accepting new patients

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": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1144842790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1804",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920741804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173653",
            "telephone_number": "619-733-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2772 4th Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921036206",
            "country_code": "US",
            "telephone_number": "619-295-6067 x15",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROA",
        "first_name": "ALEXANDRA",
        "middle_name": "SOLANA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-16",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC16623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.