Active NPI
Alexis Mincey
- Professional Counselor
- Pooler, GA
National Provider Identifier
1649672510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007894
- Practice address
- 255 Harmony Blvd
Pooler, GA 31322-3626 - Phone
- (912) 401-7014
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 722111 | GA | |
| Professional Counselor | 101YP2500X | LPC007894 | GA | Primary |
Addresses
Primary practice location
255 Harmony Blvd
Pooler, GA 31322-3626
Mailing address
255 Harmony Blvd
Pooler, GA 31322-3626
Phone (912) 401-7014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007894 | GA | MD | Professional Counselor |
| 722111 | GA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1649672510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 HARMONY BLVD",
"city": "POOLER",
"state": "GA",
"postal_code": "313223626",
"telephone_number": "912-401-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 HARMONY BLVD",
"city": "POOLER",
"state": "GA",
"postal_code": "313223626",
"telephone_number": "912-401-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINCEY",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "722111",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.