Active NPI
Alexandria Phelps, LPC
- Professional Counselor
- White Lake, MI
National Provider Identifier
1346981099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401020195
- Practice address
- 1266 Castlewood Dr
White Lake, MI 48386-3717 - Phone
- (248) 894-0557
- NPI assigned
- Apr 6, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401020195 | MI | Primary |
Addresses
Primary practice location
1266 Castlewood Dr
White Lake, MI 48386-3717
Mailing address
1266 Castlewood Dr
White Lake, MI 48386-3717
Phone (248) 894-0557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401020195 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1346981099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 CASTLEWOOD DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483863717",
"telephone_number": "248-894-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 CASTLEWOOD DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483863717",
"telephone_number": "248-894-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "ALEXANDRIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401020195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.