Alexandra Reese Bustelo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009546 Issued in PA

Practice address

2091 E High St
Pottstown, PA 19464-3211

Phone

(610) 970-5234

Fax

(610) 970-0945

NPI assigned

Jul 17, 2017

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

• Ms. Alexandra Reese Bustelo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psychology & Counseling Associates, PC

  • Clinical Psychologist
  • Pottstown, PA
  • NPI 1750303368
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487176988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643211",
            "telephone_number": "610-970-5234",
            "fax_number": "610-970-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643211",
            "telephone_number": "610-970-5234",
            "fax_number": "610-970-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Bethlehem Pike Ste 201",
            "address_purpose": "LOCATION",
            "city": "Montgomeryville",
            "state": "PA",
            "postal_code": "189369710",
            "country_code": "US",
            "telephone_number": "215-822-5553",
            "fax_number": "610-970-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Second Ave Ste G120",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263673",
            "country_code": "US",
            "telephone_number": "610-489-6240",
            "fax_number": "610-970-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTELO",
        "first_name": "ALEXANDRA",
        "middle_name": "REESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "BUSTELO",
            "middle_name": "REESE",
            "prefix": "MS.",
            "credential": "LPC, CCDP-D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zachary J Burns
• Rebecca Lerew Burr
• Ruth Susan Burtnett
• John Bush
• Karen Bush
• Holly Michelle Butcher
• Shennell Butcher
• Daelynn R Butler I
• Lisa Ann Butrymowicz, LSW
• Rebecca Buzby

• Professional Counselor in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.