Individual provider Active NPI

Alexandra Marie Solazzo, LPC

  • Mental Health Counselor
  • Ardmore, PA
National Provider Identifier
1225802903
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC016178 Issued in PA
Practice address
16 E Lancaster Ave
Ardmore, PA 19003-2228
Phone
(267) 585-4476
NPI assigned
Nov 13, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 PC016178 PA Primary

Addresses

Primary practice location

16 E Lancaster Ave
Ardmore, PA 19003-2228

Mailing address

16 E Lancaster Ave
Ardmore, PA 19003-2228
Phone (267) 585-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240517003263 PA Practitioner - Mental Health Counselor 1456792688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sri Psychological Services, PC Multi-Specialty CurrentSince Apr 16, 2024 Accepting new patients

Locations

261 Old York Rd
Ste 318
Jenkintown, PA 19046
Phone (215) 371-3490

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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1225802903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E LANCASTER AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032228",
            "telephone_number": "267-585-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E LANCASTER AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032228",
            "telephone_number": "267-585-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLAZZO",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.