Active NPI
Alexandrea Wallgren, CRC
- Counselor
- Buffalo, NY
National Provider Identifier
1316475494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 430 Niagara St
Buffalo, NY 14201-1886 - Phone
- (716) 856-2587
- Fax
- (716) 856-2608
- NPI assigned
- Jun 1, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NY | Primary |
Addresses
Primary practice location
430 Niagara St
Buffalo, NY 14201-1886
Mailing address
430 Niagara St
Buffalo, NY 14201-1886
Phone (716) 856-2587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316475494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011886",
"telephone_number": "716-856-2587",
"fax_number": "716-856-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011886",
"telephone_number": "716-856-2587",
"fax_number": "716-856-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLGREN",
"first_name": "ALEXANDREA",
"credential": "CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.