Active NPI
Alexandra Brezinsky
- Professional Counselor
- Reston, VA
National Provider Identifier
1245815976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701015309
- Practice address
- 12020 Sunrise Valley Dr Ste 100
Reston, VA 20191-3429 - Phone
- (646) 941-7645
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012930-01 | NY | |
| Professional Counselor | 101YP2500X | 0701015309 | VA | Primary |
Addresses
Primary practice location
12020 Sunrise Valley Dr Ste 100
Reston, VA 20191-3429
Mailing address
PO Box 675480
Detroit, MI 48267-5480
Other practice location 1
2495 Elmwood Ave
Kenmore, NY 14217-2222
Phone (716) 882-2127
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012930-01 | NY | MD | Mental Health Counselor |
| 0701015309 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Services-Erie County Northwest Corporation I | Mental Health | Current | Accepting new patients |
Locations
2495 Elmwood Ave
Kenmore, NY 14217
Phone (716) 882-2127
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Kenmore, NY
- NPI 1679698286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1245815976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 675480",
"city": "DETROIT",
"state": "MI",
"postal_code": "482675480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12020 SUNRISE VALLEY DR STE 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201913429",
"telephone_number": "646-941-7645"
}
],
"practiceLocations": [
{
"address_1": "2495 Elmwood Ave",
"address_purpose": "LOCATION",
"city": "Kenmore",
"state": "NY",
"postal_code": "142172222",
"country_code": "US",
"telephone_number": "716-882-2127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREZINSKY",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012930-01",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701015309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.