Alexis Corral, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11913 Issued in CO

Practice address

1 El Pueblo Ranch Way
Pueblo, CO 81006-2103

Phone

(719) 404-1127

NPI assigned

Jul 15, 2014

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

• Alexis Mable Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1639586316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 SHAWNEE PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151925",
            "telephone_number": "719-641-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EL PUEBLO RANCH WAY",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810062103",
            "telephone_number": "719-404-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRAL",
        "first_name": "ALEXIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "11913",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CO",
            "license": "121510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "MABLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Joy Cornella, NP
• Ellen L. Cornett, OTR
• Amanda Jean Corning
• Elizabeth F. Cornwell, CRNA
• Geepress Corpuz, MD
• Gina Marie Corsentino
• Angela Cortes
• Chelsey Rae Cortese, NP
• Alexandrea Merie Cortez, FSPS
• Corwin Clinic Family Medicine PLLC

• Professional Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.