Individual provider Active NPI

Alexis Smith Allen

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1649630872
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8306 Issued in LA
Practice address
1825 N 18TH St
Monroe, LA 71201-4420
Phone
(318) 322-7999
Fax
(318) 737-7471
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 8306 LA Primary

Addresses

Primary practice location

1825 N 18TH St
Monroe, LA 71201-4420

Mailing address

PO Box 792
Bastrop, LA 71221-0792

Other practice location 1

2110 Rainbow Dr
West Monroe, LA 71291-7631
Phone (315) 945-3099

Other practice location 2

4951 Central Ave
Monroe, LA 71203-6156
Phone (318) 340-1535

Other identifiers 1

IdentifierTypeStateIssuer
6G6860OtherLALICENSED PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240111003117 LA Practitioner - Mental Health Counselor 4789034935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8306LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc CurrentSince Jan 1, 2024 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Morehouse Community Medical Centers, Inc. Current Accepting new patients

Locations

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11502/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alexis.smith.allen.1@11502.direct.athenahealth.com

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1649630872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N 18TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014420",
            "telephone_number": "318-322-7999",
            "fax_number": "318-737-7471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Rainbow Dr",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712917631",
            "country_code": "US",
            "telephone_number": "315-945-3099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4951 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712036156",
            "country_code": "US",
            "telephone_number": "318-340-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH ALLEN",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "6G6860",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.