Alexandra Roe, LCPC, NCC, CTTP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC11395 Issued in MD

Practice address

111 W High St Ste 109
Elkton, MD 21921-5549

Phone

(443) 760-3620

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Alexandra Deloach Former 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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1316423304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST STE 109",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215549",
            "telephone_number": "443-760-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST STE 109",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215549",
            "telephone_number": "443-760-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Ashwood Ln",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "MD",
            "postal_code": "216351565",
            "country_code": "US",
            "telephone_number": "410-708-4307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "ALEXANDRA",
        "credential": "LCPC, NCC, CTTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9603",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LC11395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "DELOACH",
            "credential": "LCPC, NCC, CTTP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Monteleone MD and Barbara Parey MD PA
• Bonni Roberts, DO
• Nicole Marie Robles
• Alina Rodek, DDS
• Judith Steinert Rodemich, WHNP
• Noelle Rogers, DPT
• Cynthia Rohde
• Rolando Najera, M.D., P.a.
• Joe-Ann Marie Rooney, RN
• Kathleen Marie Rovito, A.T.C., C.S.C.S.

• Addiction (Substance Use Disorder) Counselor in Elkton, MD
• Providers in Elkton, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.