Individual provider Active NPI

Alessandra Mariachiara Nelson, LCMHC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1649259573
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4361 Issued in NC
Practice address
5135 Morganton Rd Ste 109
Fayetteville, NC 28314-1525
Phone
(910) 286-2820
Fax
(910) 676-7332
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4361 NC Primary

Addresses

Primary practice location

5135 Morganton Rd Ste 109
Fayetteville, NC 28314-1525

Mailing address

PO Box 87501
Fayetteville, NC 28304-7501
Phone (910) 286-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231220004028 NC Practitioner - Mental Health Counselor 5799135489 Practice locations: Fayetteville, NC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5135 Morganton Rd
Fayetteville, NC 28314-1525
Phone (910) 286-2820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4361NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen T Irizarry PLLC Past Accepting new patients
A Peace of Mind Counseling PLLC PastSince Nov 16, 2011 Accepting new patients
Carolina Psychological Associates LLP Past Accepting new patients

Organizations & group practices 3

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1649259573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87501",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047501",
            "telephone_number": "910-286-2820",
            "fax_number": "910-676-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 MORGANTON RD STE 109",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141525",
            "telephone_number": "910-286-2820",
            "fax_number": "910-676-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ALESSANDRA",
        "middle_name": "MARIACHIARA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.