Active NPI
Alexandra Monika Asirvadam, LPC, LCDC
- Professional Counselor
- Waxahachie, TX
National Provider Identifier
1457636987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64198
- Practice address
- 300 N Ih 35 E
Waxahachie, TX 75165-5226 - Phone
- (214) 733-4747
- Fax
- (972) 617-7656
- NPI assigned
- Oct 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 64198 | TX | Primary |
Addresses
Primary practice location
300 N Ih 35 E
Waxahachie, TX 75165-5226
Mailing address
8830 Mattie LN
Waxahachie, TX 75167-7282
Phone (214) 733-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2848400-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122002848 | TX | Practitioner - Mental Health Counselor | 7810349206 | Practice locations: Waxahachie, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
300 N Ih 35
Waxahachie, TX 75165-5226
Phone (214) 733-4747
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1457636987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8830 MATTIE LN",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751677282",
"telephone_number": "214-733-4747",
"fax_number": "972-617-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N IH 35 E",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655226",
"telephone_number": "214-733-4747",
"fax_number": "972-617-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIRVADAM",
"first_name": "ALEXANDRA",
"middle_name": "MONIKA",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-16",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2848400-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.