Individual provider Active NPI

Alexandra Hanson

  • Mental Health Counselor
  • Malden, MA
National Provider Identifier
1497316806
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
22 Pleasant St # 2000
Malden, MA 02148-5119
Phone
(781) 851-2648
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 Primary

Addresses

Primary practice location

22 Pleasant St # 2000
Malden, MA 02148-5119

Mailing address

22 Pleasant St # 2000
Malden, MA 02148-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MN, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241209000086 NJ Practitioner - Mental Health Counselor 0749716272 Reassigns benefits to 2 organizations
I20241209002573 MN Practitioner - Mental Health Counselor 0749716272 Reassigns benefits to 1 organization
I20241219003275 PA Practitioner - Mental Health Counselor 0749716272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forge Medical Group, LLCGroup PAC ID 5597163949, 35 clinicians

Practice addresses (Care Compare)

1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956
Phone (862) 658-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Medical Group, LLC CurrentSince Dec 2, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 13, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Nov 13, 2024 Accepting new patients
Forge Medical Group, LLC CurrentSince Dec 2, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052
Phone (862) 658-6700

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 4

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1497316806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PLEASANT ST # 2000",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PLEASANT ST # 2000",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485119",
            "telephone_number": "781-851-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.