Alexis Redman, LCSWA, LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P019674 Issued in NC

Practice address

202 1/2 Princess St
Wilmington, NC 28401-3951

Phone

(910) 202-4326

NPI assigned

Jan 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• KRC Counseling Inc.

  dba Evolution Wellness

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1023557154
  NPD (past)

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1356152284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 1/2 PRINCESS ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013951",
            "telephone_number": "910-202-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 1/2 PRINCESS ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013951",
            "telephone_number": "910-202-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "ALEXIS",
        "credential": "LCSWA, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P019674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Patrick Reavill, PA-C
• Rebecca Sykes LPC,PLLC
• Richard R. Recko, DPM, PA
• Tara Rector, PA-C
• Kebrina Redd, LCSW
• Jennifer Eileen Redman, LPC, LCAS, LCADC
• Redstone Nemt LLC
• Redwood LTC Group, LLC (NorthChase Nursing and Rehabilitation Center)
• Brittany Reed, DPT, CLT
• Kristy Lynn Reed, MS, LPA

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.