Active NPI
Alexis Lanzillo, LPC
- Professional Counselor
- Fort Washington, PA
National Provider Identifier
1629880877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC018014
- Practice address
- 120 N Bethlehem Pike Apt A301
Fort Washington, PA 19034-1230 - Phone
- (814) 558-5174
- NPI assigned
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC018014 | PA | Primary |
Addresses
Primary practice location
120 N Bethlehem Pike Apt A301
Fort Washington, PA 19034-1230
Mailing address
120 N Bethlehem Pike Apt A301
Fort Washington, PA 19034-1230
Phone (814) 558-5174
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2418 E York St
Talkiatry
Philadelphia, PA 19125-3006
Phone (833) 351-8255
680 American Ave
Suite 302
King of Prussia, PA 19406-4023
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Current | Accepting new patients |
Locations
2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906
Organizations & group practices 1
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": "1737676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1629880877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N BETHLEHEM PIKE APT A301",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341230",
"telephone_number": "814-558-5174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N BETHLEHEM PIKE APT A301",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341230",
"telephone_number": "814-558-5174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZILLO",
"first_name": "ALEXIS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-24",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.