Individual provider Active NPI

Alejandro S Soulia, M.ED

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1326184904
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG60156019 Issued in WA
Practice address
1175 Carondelet Dr
Richland, WA 99354-3300
Phone
(509) 943-9104
Fax
(509) 943-7206
NPI assigned
Jan 30, 2007
Last updated
Nov 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CG60156019 WA Primary

Addresses

Primary practice location

1175 Carondelet Dr
Richland, WA 99354-3300

Mailing address

1175 Carondelet Dr
Richland, WA 99354-3300
Phone (509) 943-9104

Other names 1

  • Alejandro Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20240130000833 WA Practitioner - Mental Health Counselor 8628421328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Hospital LLCGroup PAC ID 1850642562, 42 clinicians

Practice addresses (Care Compare)

1175 Carondelet Dr
Richland, WA 99354-3300
Phone (509) 943-9104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CG60156019WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Hospital LLC CurrentSince Jan 1, 2024 Accepting new patients
Lourdes Hospital LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1326184904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CARONDELET DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543300",
            "telephone_number": "509-943-9104",
            "fax_number": "509-943-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CARONDELET DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543300",
            "telephone_number": "509-943-9104",
            "fax_number": "509-943-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULIA",
        "first_name": "ALEJANDRO",
        "middle_name": "S",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60156019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEJANDRO",
            "last_name": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.