Individual provider Active NPI

Alexa Hutzenbiler, PSYD

  • Psychologist
  • Seattle, WA
National Provider Identifier
1326772302
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5416 Issued in WI
Practice address
3250 Airport Way S Ste 530
Seattle, WA 98134-2111
Phone
(701) 805-1735
NPI assigned
Jul 14, 2022
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5416 WI Primary
Mental Health Counselor 101YM0800X MC61328661 WA

Addresses

Primary practice location

3250 Airport Way S Ste 530
Seattle, WA 98134-2111

Mailing address

351 Polk LN Apt B
Monroe, WA 98272-1453
Phone (701) 805-1735

Other practice location 1

1531 S Madison St
Appleton, WI 54915-1800
Phone (920) 730-4411

Other practice location 2

3515 SW Alaska St
Seattle, WA 98126-2730
Phone (701) 805-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20260626000125 WI Practitioner - Clinical Psychologist 8729551163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 W River Woods Pkwy
Glendale, WI 53212-1060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC61328661WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Psychotherapy & Assessment, LLC PastSince Jul 17, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1326772302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 POLK LN APT B",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721453",
            "telephone_number": "701-805-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 AIRPORT WAY S STE 530",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342111",
            "telephone_number": "701-805-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549151800",
            "country_code": "US",
            "telephone_number": "920-730-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 SW Alaska St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981262730",
            "country_code": "US",
            "telephone_number": "701-805-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTZENBILER",
        "first_name": "ALEXA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "5416",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61328661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.