Alix Walczuk, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012671 Issued in NY

Practice address

329 W 20TH St
Deer Park, NY 11729-6317

Phone

(516) 398-4122

NPI assigned

Jul 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Manhattan Mental Health Counseling, LLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1225429640
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1669994463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W 20TH ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296317",
            "telephone_number": "516-398-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 20TH ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296317",
            "telephone_number": "516-398-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZUK",
        "first_name": "ALIX",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Victoria Vene
• Christina Lyn Vergara
• Dianne Lorraine Vogel, MA
• Lorna A. Vopat, M.S.ED
• VT'S Abc Inc.
• Waldbaum Inc
• Walgreen Co
• Joanne Walker, M.S., CCC, SLP
• Jennifer J Walsh, R.D.,CDN
• Lauren P Wamp

• Mental Health Counselor in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.

Verify at the official NPI Registry.