Individual provider Active NPI

Alexandria Lawson

  • Addiction (Substance Use Disorder) Counselor
  • Redding, CA
National Provider Identifier
1639827066
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13030 Issued in CA
Practice address
1147 Hartnell Ave
Redding, CA 96002-2113
Phone
(530) 222-7213
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 13030 CA Primary

Addresses

Primary practice location

1147 Hartnell Ave
Redding, CA 96002-2113

Mailing address

1147 Hartnell Ave
Redding, CA 96002-2113
Phone (530) 222-7213

Other practice location 1

1400 Oregon St
Redding, CA 96001-1620
Phone (530) 768-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240306001861 CA Practitioner - Marriage and Family Therapist 8426494071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13030CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Legacy Center PastSince Jun 21, 2022 Accepting new patients
Children's Legacy Center Past Accepting new patients
Aegis Treatment Centers, LLC PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 4

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1639827066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022113",
            "telephone_number": "530-222-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022113",
            "telephone_number": "530-222-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Oregon St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011620",
            "country_code": "US",
            "telephone_number": "530-768-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "13030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.