Alexandria R Hoekstra, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023060 Issued in MI

Practice address

217 E 24TH St Ste 201
Holland, MI 49423-4973

Phone

(616) 209-9204

NPI assigned

Jun 13, 2023

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

Other names 1

• Alexandria R Fennemea Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leadlight LLCGroup PAC ID 4284161233, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Leadlight LLC

  • Mental Health Counselor
  • Holland, MI
  • NPI 1578279998

  Mental Health, MI

  Medicare reassignment Care Compare group NPD
• Amplified Life Network, LLC

  • Professional Counselor
  • Byron Center, MI
  • NPI 1558713388
  NPD (past)

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1407530280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 24TH ST STE 201",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234973",
            "telephone_number": "616-209-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 24TH ST STE 201",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234973",
            "telephone_number": "616-209-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "ALEXANDRIA",
        "middle_name": "R",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "FENNEMEA",
            "middle_name": "R",
            "credential": "LLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hillichien W Hoekman, MD
• Peter Klaas Hoekman, M.D.
• Hoeksema Psychological Services, P.C.
• David Bruce Hoeksema, CRNA
• James Henry Hoeksema, PSY.D.
• Cornelius William Henry Hoekstra, DDS
• Maria C Hoekstra, DDS FAGD
• Douglas James Hoey, MD
• Hofbauer Chiropractic LLC
• Charles Russell Hofbauer, DC

• All providers in Holland, MI
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.