Alexandra Brueckner, LCAT
Individual provider Active NPI Mental Health Counselor · Harrison, NY
NPI 1346561180 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1346561180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 001261-1 (NY)
- Practice address
- 395 West St
Harrison, NY 10528-2503 - Phone
- (914) 260-7784
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001261-1 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandra Brueckner Creative Arts LLC | Past |
Accepting new patients | |
| Alexandra Brueckner Creative Arts LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001261-1 | NY | Yes |
Addresses
Primary practice location
395 West St
Harrison, NY 10528-2503
Mailing address
395 West St
Harrison, NY 10528-2503
Phone (914) 260-7784
Other providers in Harrison, NY
- Daniel Joseph Brooks II
- Cristian Brotea
- Barbara Rene Brown
- Brittany Amanda Brown
- Rebecca Brown
- Omosigho Irene Brunache
- Keisha-Ann Bryan
- Emely Burgos
- Devan Burke
- Karen Burns
All providers in Harrison, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.