Active NPI
Alexa Farris
- Mental Health Counselor
- Port Orchard, WA
National Provider Identifier
1669083663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61451416
- Practice address
- 2507 SE Mile Hill Dr Ste C-108
Port Orchard, WA 98366-3515 - Phone
- (360) 592-3359
- Fax
- (360) 519-5170
- NPI assigned
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | WA | ||
| Mental Health Counselor | 101YM0800X | LH61451416 | WA | Primary |
Addresses
Primary practice location
2507 SE Mile Hill Dr Ste C-108
Port Orchard, WA 98366-3515
Mailing address
3965 Bethel Rd SE
Ste 1 #303
Port Orchard, WA 98366
Phone (306) 592-3359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122000728 | WA | Practitioner - Mental Health Counselor | 2961854393 | Practice locations: Port Orchard, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Port Orchard, WA 98366
Phone (360) 592-3359
3965 Bethel Rd SE
Suite 1 303
Port Orchard, WA 98366-3959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61451416 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sally Neumann LLC | Mental Health | Past | Accepting new patients |
| Pioneer Human Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Pioneer Counseling Services Seattle - Rainier Clinic
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1265554463
-
- Mental Health Counselor
- Seattle, WA
- NPI 1851031918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1669083663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 BETHEL RD SE",
"address_2": "STE 1 #303",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "98366",
"telephone_number": "306-592-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 SE MILE HILL DR STE C-108",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663515",
"telephone_number": "360-592-3359",
"fax_number": "360-519-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "ALEXA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61451416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.