Individual provider Active NPI

Alexandra Mejia, LMHC, C-PD

  • Mental Health Counselor
  • Waterbury, CT
National Provider Identifier
1679078950
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010040 Issued in NY
Practice address
1310 Hamilton Ave
Waterbury, CT 06706-2307
Phone
(917) 444-6846
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 010040 NY Primary

Addresses

Primary practice location

1310 Hamilton Ave
Waterbury, CT 06706-2307

Mailing address

1310 Hamilton Ave
Waterbury, CT 06706-2307
Phone (917) 444-6846

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mindfulnesswithsasha.theraplatform.com Direct

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

LicenseStateTypeSpecialty
010040NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Insights Mental Health Counseling PLLC Mental Health CurrentSince May 19, 2024 Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients
New York Psychotherapy and Counseling Center PastSince Dec 6, 2010 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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1679078950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 HAMILTON AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067062307",
            "telephone_number": "917-444-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HAMILTON AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067062307",
            "telephone_number": "917-444-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "ALEXANDRA",
        "credential": "LMHC, C-PD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindfulnesswithsasha.theraplatform.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26 Court St Ste 504",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112421105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.