Alexandra Zickermann, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3169 Issued in MN

Practice address

9298 Central Ave NE Ste 310
Blaine, MN 55434-4219

Phone

(651) 955-4633

Fax

(651) 440-9827

NPI assigned

Feb 8, 2022

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 MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Omni Mental Health Inc

  • Marriage & Family Therapist
  • Blaine, MN
  • NPI 1891110177

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1144974221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 RUTH ST N STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194409",
            "telephone_number": "651-955-4633",
            "fax_number": "651-440-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9298 CENTRAL AVE NE STE 310",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344219",
            "telephone_number": "651-955-4633",
            "fax_number": "651-440-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKERMANN",
        "first_name": "ALEXANDRA",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Ahmed Yusuf IV
• Brianna A Zadnik, PA-C
• Imad Zalloum
• Paul Zamora
• Zen Home Healthcare
• Jessie M Zins, RD
• Viliam M Zong Vang
• Deborah Kathryn Zongo, APRN, CNP

• Mental Health Counselor in Blaine, MN
• Providers in Blaine, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.