Alexandra Rose Dimoff, LPC, MS
Individual provider Active NPI Professional Counselor · Mars, PA
NPI 1457036733 · NPPES record last updated Jun 15, 2023
Key facts
- NPI
- 1457036733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC014921 (PA)
- Practice address
- 510 Pittsburgh St
Mars, PA 16046-3444 - Phone
- (412) 915-4280
- NPI assigned
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014921 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC014921 | PA | Yes |
Addresses
Primary practice location
510 Pittsburgh St
Mars, PA 16046-3444
Mailing address
PO Box 9
Mars, PA 16046-0009
Other providers in Mars, PA
- David a. Smolensky D. C.
- Jamie Lee Demarco
- Susan G Deriso
- Diagnostic Sleep Med Center, LLC
- Molly K Dimatteo
- Ronald Lee Dougalewicz Jr.
- Eckerd Corporation
- Elite Chiropractic and Wellness Center, LLC
- Emerald Grove Wellness LLC
- Theresa A Eury
All providers in Mars, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.