Alexandra Leigh Berttucci, MAC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2014027160 Issued in MO

Practice address

2811 S Kingshighway Blvd
Saint Louis, MO 63139-1006

Phone

(314) 379-9905

NPI assigned

Mar 31, 2017

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

Other names 1

• Ally Leigh Berttucci Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1265964993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391006",
            "telephone_number": "314-379-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391006",
            "telephone_number": "314-379-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTTUCCI",
        "first_name": "ALEXANDRA",
        "middle_name": "LEIGH",
        "credential": "MAC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2014027160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLY",
            "last_name": "BERTTUCCI",
            "middle_name": "LEIGH",
            "credential": "MAC, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gerry J Bertish, PA
• Lauren Bertoy, MD
• Tracey Bertram, MD
• Mary E Bertrand, MD
• Brian James Bertschi, RNFA
• Julie Bertz, FNP
• Amit I Bery, MD
• Blake D Besancenez, D.M.D
• Kimberly Marie Besancenez, AGNP-C
• Robert Besancenez, MD

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.