Individual provider Active NPI

Alexis Nicole Lawless, LPC

  • Professional Counselor
  • Warminster, PA
National Provider Identifier
1619560190
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012916 Issued in PA
Practice address
1200 Old York Rd Ste 101
Warminster, PA 18974-2034
Phone
(609) 338-8882
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012916 PA Primary

Addresses

Primary practice location

1200 Old York Rd Ste 101
Warminster, PA 18974-2034

Mailing address

1200 Old York Rd Ste 101
Warminster, PA 18974-2034
Phone (609) 338-8882

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL theranest

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20241223001165 PA Practitioner - Mental Health Counselor 5799212296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. Current Accepting new patients
Resources for Human Development, Inc. CurrentSince Dec 17, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Dec 17, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jun 15, 2025 Accepting new patients
Resources for Human Development, Inc. Past Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4101 Freeland Ave
Philadelphia, PA 19128
Phone (267) 597-3604

4700 Wissahickon Ave
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

4700 Wissahickon Ave
Ste 119
Philadelphia, PA 19144
Phone (215) 843-9720

850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1619560190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742034",
            "telephone_number": "609-338-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742034",
            "telephone_number": "609-338-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theranest",
            "affiliation": "N",
            "address_1": "1200 Old York Rd Ste 101",
            "city": "Warminster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189742034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

Verify at the official NPI Registry.