Active NPI
Alexandra Lewis, AMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1588331540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT135971
- Practice address
- 545 Laurel St
San Diego, CA 92101-1634 - Phone
- (619) 233-4399
- NPI assigned
- Aug 26, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT135971 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT135971 | CA | Primary |
Addresses
Primary practice location
545 Laurel St
San Diego, CA 92101-1634
Mailing address
545 Laurel St
San Diego, CA 92101-1634
Phone (619) 233-4399
Other practice location 1
1360 E Lassen Ave
Chico, CA 95973-7823
Phone (530) 267-1700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT135971 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Hawthorne Crisis Center
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1225251812
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689465600000",
"number": "1588331540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 LAUREL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011634",
"telephone_number": "619-233-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 LAUREL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011634",
"telephone_number": "619-233-4399"
}
],
"practiceLocations": [
{
"address_1": "1360 E Lassen Ave",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959737823",
"country_code": "US",
"telephone_number": "530-267-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "ALEXANDRA",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2023-07-16",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT135971",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT135971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.