Individual provider Active NPI

Alexis Mychael Corsa

  • Behavior Technician
  • York, PA
National Provider Identifier
1487284196
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1407 Williams Rd
York, PA 17402-9000
Phone
(717) 845-2482
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1407 Williams Rd
York, PA 17402-9000

Mailing address

1407 Williams Rd
York, PA 17402-9000
Phone (717) 845-2482

Other practice location 1

325 N 2nd St
Wormleysburg, PA 17043-1104
Phone (844) 588-4222

Other practice location 2

2225 Sycamore St
Harrisburg, PA 17111-1026
Phone (844) 588-4222

Other practice location 3

1015 Pennsylvania Ave
Irwin, PA 15642-3737
Phone (866) 287-2036

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

Practice roles

OrganizationSpecialtyStatusNew patients
Achieving True Self, Inc. PastSince Jul 1, 2023 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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1487284196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 WILLIAMS RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029000",
            "telephone_number": "717-845-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 WILLIAMS RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029000",
            "telephone_number": "717-845-2482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Wormleysburg",
            "state": "PA",
            "postal_code": "170431104",
            "country_code": "US",
            "telephone_number": "844-588-4222",
            "fax_number": "717-775-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171111026",
            "country_code": "US",
            "telephone_number": "844-588-4222",
            "fax_number": "717-775-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Irwin",
            "state": "PA",
            "postal_code": "156423737",
            "country_code": "US",
            "telephone_number": "866-287-2036",
            "fax_number": "888-244-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORSA",
        "first_name": "ALEXIS",
        "middle_name": "MYCHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.