Individual provider Active NPI

Alexa Jane Deslauriers, MS, LCMHCA, CRC

  • Mental Health Counselor
  • Chapel Hill, NC
National Provider Identifier
1437987963
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A20243 Issued in NC
Practice address
1000 Novus LN Apt 101
Chapel Hill, NC 27514-6020
Phone
(336) 520-0532
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A20243 NC Primary

Addresses

Primary practice location

1000 Novus LN Apt 101
Chapel Hill, NC 27514-6020

Mailing address

1000 Novus LN Apt 101
Chapel Hill, NC 27514-6020
Phone (336) 520-0532

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A20243NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Golden Collective, PLLC Mental Health PastSince Jul 28, 2024 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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1437987963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NOVUS LN APT 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146020",
            "telephone_number": "336-520-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NOVUS LN APT 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146020",
            "telephone_number": "336-520-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLAURIERS",
        "first_name": "ALEXA",
        "middle_name": "JANE",
        "credential": "MS, LCMHCA, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.