Active NPI
Blake-Alexandria Alexis Collins-Wisniowski, B.A., CWC-II
- Health & Wellness Coach
- Gainesville, FL
National Provider Identifier
1508300518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 10067ECF1E
- Practice address
- 1015 NW 56TH Ter
Gainesville, FL 32605-4481 - Phone
- (352) 835-5520
- NPI assigned
- Dec 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Health & Wellness Coach | 171400000X | 10067ECF1E | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16901 | CA |
Addresses
Primary practice location
1015 NW 56TH Ter
Gainesville, FL 32605-4481
Mailing address
119 Robinson LN
Santa Cruz, CA 95060-2351
Phone (831) 760-2774
Other names 1
- Mrs. Alexandria Collins-Wisniowski
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16901 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 10067ECF1E | CA | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1508300518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 ROBINSON LN",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602351",
"telephone_number": "831-760-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 NW 56TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054481",
"telephone_number": "352-835-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS-WISNIOWSKI",
"first_name": "BLAKE-ALEXANDRIA",
"middle_name": "ALEXIS",
"name_prefix": "Mrs.",
"credential": "B.A., CWC-II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-09",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "10067ECF1E",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "16901",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRIA",
"last_name": "COLLINS-WISNIOWSKI",
"prefix": "MRS.",
"credential": "CWC-II",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.