Alexis Teale Lachino, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

104994 Issued in IA

Practice address

3261 University Ave
Waterloo, IA 50701-2051

Phone

(319) 239-2016

NPI assigned

Apr 12, 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 IA

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

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.

• Growth & Grace Counseling and Consulting LLC

  • Mental Health Counselor
  • Waterloo, IA
  • NPI 1720839418
  Medicare reassignment NPD
• Heart and Solutions

  • Mental Health Counselor
  • Grundy Center, IA
  • NPI 1578963377
  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1194467803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "GILBERTVILLE",
            "state": "IA",
            "postal_code": "506340635",
            "telephone_number": "319-404-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 UNIVERSITY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012051",
            "telephone_number": "319-239-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3812 Cedar Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506136260",
            "country_code": "US",
            "telephone_number": "319-260-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACHINO",
        "first_name": "ALEXIS",
        "middle_name": "TEALE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "104994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Kurtovic, CADC
• Laura Kurtz
• Joseph Kwofie, DO
• Debra K. Kyler, R.D., L.D., I.B.C.LC
• Laboratory Corporation of America Holdings
• Cody Lynn Lafler, OTR/L
• Kiley Erin Lahmann, DNP ARNP CPNP-PC
• Megan Lee Lake, PHARMD
• Tamara Lallier
• Lance A Lalonde, CRNA

• Mental Health Counselor in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.