Individual provider Active NPI

Alexa Maestranzi, NCC, LPC

  • Counselor
  • Avon, CO
National Provider Identifier
1386126316
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC.0014356 Issued in CO
Practice address
111 W Beaver Creek Blvd Unit 4617
Avon, CO 81620-5103
Phone
(847) 370-4603
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0014356 CO Primary

Addresses

Primary practice location

111 W Beaver Creek Blvd Unit 4617
Avon, CO 81620-5103

Mailing address

111 W Beaver Creek Blvd Unit 4617
Avon, CO 81620-5103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0014356COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barefoot Soul Healing, LLC Professional Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1386126316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W BEAVER CREEK BLVD UNIT 4617",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W BEAVER CREEK BLVD UNIT 4617",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205103",
            "telephone_number": "847-370-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTRANZI",
        "first_name": "ALEXA",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0014356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

Verify at the official NPI Registry.