Alexandria N Bleich, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AC-GTL-21-02162. Issued in NJ

Practice address

567 Park Ave Ste 204
Scotch Plains, NJ 07076-1754

Phone

(908) 242-3634

NPI assigned

Feb 17, 2021

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 24, 2026 through Mar 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brave Minds Psychological Services

  • Clinical Psychologist
  • Scotch Plains, NJ
  • NPI 1619414885

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1164015475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PARK AVE STE 204",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "732-300-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PARK AVE STE 204",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-242-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEICH",
        "first_name": "ALEXANDRIA",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "AC-GTL-21-02162.",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37PC001017200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Berry
• Frank Richard Besson, DMD
• Dhanya Bhat, NCC, LPC
• Shreena Bhojani
• Blake Kirschner PSYD PC
• Avrohom Blesofsky, LCSW
• Alex Charles Blitz, MSW, LCSW
• Martin Blume, LCSW
• Gerardina Bogdanovic, D.C., OT
• Jessica Bollinger

• Mental Health Counselor in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.