Active NPI
Alexis Rose Balkey
- Mental Health Counselor
- Cathedral City, CA
National Provider Identifier
1407981335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 68100 Ramon Rd
B-10
Cathedral City, CA 92234-3387 - Phone
- (760) 321-0870
- Fax
- (760) 321-0916
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
68100 Ramon Rd
B-10
Cathedral City, CA 92234-3387
Mailing address
66168 S Agua Dulce Dr
Desert Hot Springs, CA 92240-8111
Phone (858) 945-2539
Other names 1
- Miss Alexis Rose Gary
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1407981335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66168 S AGUA DULCE DR",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922408111",
"telephone_number": "858-945-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68100 RAMON RD",
"address_2": "B-10",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922343387",
"telephone_number": "760-321-0870",
"fax_number": "760-321-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALKEY",
"first_name": "ALEXIS",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "GARY",
"middle_name": "ROSE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.