Active NPI
Anisha Alex
- Professional Counselor
- Rockwall, TX
National Provider Identifier
1407407356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 95668
- Practice address
- 2245 Ridge Rd Ste 115
Rockwall, TX 75087-5173 - Phone
- (214) 771-8473
- NPI assigned
- Sep 23, 2019
- Reactivated
- Dec 18, 2024
- 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 | 95668 | TX | Primary |
Addresses
Primary practice location
2245 Ridge Rd Ste 115
Rockwall, TX 75087-5173
Mailing address
341 Yosemite Falls Dr
Sunnyvale, TX 75182-6201
Phone (972) 375-3667
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 |
|---|---|---|---|
| 95668 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1407407356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 YOSEMITE FALLS DR",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751826201",
"telephone_number": "972-375-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 RIDGE RD STE 115",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750875173",
"telephone_number": "214-771-8473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEX",
"first_name": "ANISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"deactivation_date": "2024-10-14",
"reactivation_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "95668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.