Individual provider Active NPI

Kristofer Alexander Alexa

  • Mental Health Counselor
  • Londonderry, NH
National Provider Identifier
1194531574
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4938 Issued in NH
Practice address
47 Boulder Dr.
Londonderry, NH 03053
Phone
(603) 275-0725
NPI assigned
Dec 10, 2024
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10002624 MA
Mental Health Counselor 101YM0800X 10002624 MA
Mental Health Counselor 101YM0800X 4938 NH Primary

Addresses

Primary practice location

47 Boulder Dr.
Londonderry, NH 03053

Mailing address

47 Boulder Dr.
Londonderry, NH 03053
Phone (603) 275-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250507002232 NH Practitioner - Mental Health Counselor 6507383122 Reassigns benefits to 1 organization
I20250806002849 MA Practitioner - Mental Health Counselor 6507383122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

170 Main St
Tewksbury, MA 01876-1765
Phone (781) 348-9041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10002624MAMDMental Health Counselor
LMHC10002624MAMDMental Health Counselor
4938NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Homes, Inc. Mental Health CurrentSince Mar 21, 2025 Accepting new patients
Harbor Homes, Inc Mental Health CurrentSince Mar 21, 2025 Accepting new patients
Total Wellness Centers, LLC CurrentSince Aug 1, 2025 Accepting new patients
Total Wellness Centers, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

360 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

170 Main St
#G48
Tewksbury, MA 01876
Phone (781) 348-9041

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

45 High St
Nashua, NH 03060
Phone (603) 821-7788

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

77 Northeastern Blvd
Ste C
Nashua, NH 03062

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

Organizations & group practices 4

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1194531574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BOULDER DR.",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "03053",
            "telephone_number": "603-275-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BOULDER DR.",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "03053",
            "telephone_number": "603-275-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXA",
        "first_name": "KRISTOFER",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002624",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10002624",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "4938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.