Alexandra Jean Puri, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC8651 Issued in MD

Practice address

9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157

Phone

(410) 780-5203

Fax

(410) 780-5205

NPI assigned

Mar 22, 2019

Last updated

Mar 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
  • NPI 1053733378
  Medicare reassignment NPD

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1639639925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 TREPID RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361038",
            "telephone_number": "631-379-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9627 PHILADELPHIA RD STE 160",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374157",
            "telephone_number": "410-780-5203",
            "fax_number": "410-780-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "ALEXANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Healthcare Services
• Adalberto Prins
• Procare Ambulance of Maryland Inc
• Connor Pucci
• Louis Puglese, OD
• Mary Quesnel, BSN, RN
• Asima Rahman, M.D.
• Aniruddh Rao
• Kafayat A Razaq
• Reclaim Integrated Care, LLC

• Professional Counselor in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.