Individual provider Active NPI

Alexandria R Draginis, LPC-IT

  • Counseling Psychologist
  • New Berlin, WI
National Provider Identifier
1225602501
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4952-226 Issued in WI
Practice address
1530 S 170TH St
New Berlin, WI 53151-1328
Phone
(414) 779-7971
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4952-226 WI Primary

Addresses

Primary practice location

1530 S 170TH St
New Berlin, WI 53151-1328

Mailing address

3044 N Fratney St
Milwaukee, WI 53212-2221
Phone (608) 658-4525

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
4952-226WIMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1225602501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 N FRATNEY ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122221",
            "telephone_number": "608-658-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S 170TH ST",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511328",
            "telephone_number": "414-779-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGINIS",
        "first_name": "ALEXANDRIA",
        "middle_name": "R",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "4952-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.