Alexandra Voss Killingbeck

Primary specialty

Social WorkerTaxonomy code 104100000X

License

87001574A Issued in IN

Practice address

607 Lincolnway
Valparaiso, IN 46383

Phone

(219) 548-8727

Fax

(219) 465-7211

NPI assigned

Jan 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alexandra Voss Meneakis Former name

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smart Physician Systems PCGroup PAC ID 3678853645, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Smart Physician Systems PC

  • Internal Medicine Physician
  • Michigan City, IN
  • NPI 1023550183
  Medicare reassignment Care Compare group NPD
• Cleanslate Medical Group of Indiana LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Alexandria, IN
  • NPI 1023464294
  Medicare reassignment NPD

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1558879957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46383",
            "telephone_number": "219-548-8727",
            "fax_number": "219-465-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINGBECK",
        "first_name": "ALEXANDRA",
        "middle_name": "VOSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001574A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "87001574A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "MENEAKIS",
            "middle_name": "VOSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Akram Kholoki, M.D.
• Tala Khraise, MD
• Jennifer Kilgores-Stokes
• Jill A. Kilhefner, R.D.
• Franklin Kilian, PT
• Chung K Kim, M.D.
• Yeo Jeong Kim, PT
• Kinetic O & P, LTD
• Jessica King, MSW
• Fred Kinsey

• Social Worker in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.

Verify at the official NPI Registry.