Alexandria N Peck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9928940 Issued in CO

Practice address

411 Main St Ste 204
Fort Morgan, CO 80701-2141

Phone

(866) 285-2929

Fax

(208) 567-5844

NPI assigned

Mar 3, 2023

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 CO

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

State licenses

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.

• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1346849841

  Clinical

  Medicare reassignment NPD
• Polaris Partners Counseling and Consulting LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1023974599
  NPD
• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1962172635

  Clinical

  NPD
• Polaris Partners Counseling and Consulting LLC

  • Clinical Social Worker
  • Fort Morgan, CO
  • NPI 1801512140
  NPD (past)

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1245930783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S MADISON ST STE 306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093014",
            "telephone_number": "866-285-2929",
            "fax_number": "208-567-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST STE 204",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012141",
            "telephone_number": "866-285-2929",
            "fax_number": "208-567-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 McClelland Dr Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805252572",
            "country_code": "US",
            "telephone_number": "866-285-2929",
            "fax_number": "208-567-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "ALEXANDRIA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9928940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Hands Counseling Group
• Kenneth Charles Osgood, M.D
• Margaret Elaine Palu, M.D.
• Casey Dee Pataluna
• Brita Pate
• Alexandria Pekarek, PA-C
• Amy Pemberton
• Victoria Pena, ABOC, NCLEC
• Brooke Penn, OD
• Juan Perez-Alonzo

• Clinical Social Worker in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.