Active NPI
Alexandra J House, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1255560058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC16029
- Practice address
- 34406 N 27TH Dr Ste 140
Phoenix, AZ 85085-6079 - Phone
- (602) 859-5550
- NPI assigned
- Jul 14, 2009
- Last updated
- Feb 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC16029 | AZ | Primary |
Addresses
Primary practice location
34406 N 27TH Dr Ste 140
Phoenix, AZ 85085-6079
Mailing address
PO Box 43527
Phoenix, AZ 85080-3527
Phone (602) 859-5550
Other practice location 1
40 E Mitchell Dr
Suite 100 & 200
Phoenix, AZ 85012-2330
Phone (602) 599-5450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 27, 2024 through Mar 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC16029 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dantia Wellness LLC | Professional | Current | Accepting new patients |
Locations
34406 N 27th Dr
Ste 140
Phoenix, AZ 85085
Phone (480) 648-5217
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": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1255560058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43527",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850803527",
"telephone_number": "602-859-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34406 N 27TH DR STE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856079",
"telephone_number": "602-859-5550"
}
],
"practiceLocations": [
{
"address_1": "40 E Mitchell Dr",
"address_2": "Suite 100 & 200",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850122330",
"country_code": "US",
"telephone_number": "602-599-5450",
"fax_number": "602-599-5711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSE",
"first_name": "ALEXANDRA",
"middle_name": "J",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC16029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.