Individual provider Active NPI

Alexandra Hope Anderson, LPC-IT

  • Mental Health Counselor
  • Eau Claire, WI
National Provider Identifier
1184365892
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4886-226 Issued in WI
Practice address
4330 Golf Ter Ste 202
Eau Claire, WI 54701-4688
Phone
(715) 559-9428
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 4886-226 WI Primary

Addresses

Primary practice location

4330 Golf Ter Ste 202
Eau Claire, WI 54701-4688

Mailing address

4330 Golf Ter Ste 202
Eau Claire, WI 54701-4688
Phone (715) 559-9428

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
4886-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
R & S Bowe LLC Mental Health CurrentSince Oct 23, 2022 Accepting new patients

Locations

4330 Golf Ter
Ste 202
Eau Claire, WI 54701
Phone (715) 201-4209

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1184365892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 202",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-559-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 202",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-559-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEXANDRA",
        "middle_name": "HOPE",
        "credential": "LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4886-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.