Individual provider Active NPI

Alexandria Jewel Ehrnsberger Bounds, LCSW

  • Mental Health Counselor
  • Chapel Hill, NC
National Provider Identifier
1679114789
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P012756 Issued in NC
Practice address
1516 E Franklin St Ste 200
Chapel Hill, NC 27514-2812
Phone
(617) 379-0496
NPI assigned
Oct 1, 2019
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 P012756 NC Primary

Addresses

Primary practice location

1516 E Franklin St Ste 200
Chapel Hill, NC 27514-2812

Mailing address

PO Box 2196
Leicester, NC 28748-2196
Phone (828) 461-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210310001536 NC Practitioner - Clinical Social Worker 4587070917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - North Carolina PCGroup PAC ID 8527471200, 109 clinicians

Practice addresses (Care Compare)

1516 E Franklin St
Suite 200
Chapel Hill, NC 27514-2812
Phone (909) 636-5287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012756NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - North Carolina PC Mental Health CurrentSince Jun 14, 2022 Accepting new patients
October Road Inc. Addiction (Substance Use Disorder) CurrentSince Feb 16, 2021 Accepting new patients
October Road Inc CurrentSince Feb 16, 2021 Accepting new patients

Locations

119 Tunnel Rd
Ste B
Asheville, NC 28805
Phone (219) 256-3059

119 Tunnel Rd
Ste D
Asheville, NC 28805
Phone (866) 489-2686

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

1516 E Franklin St
Ste 200
Chapel Hill, NC 27514
Phone 6173790496 ext. 92527

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1679114789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2196",
            "city": "LEICESTER",
            "state": "NC",
            "postal_code": "287482196",
            "telephone_number": "828-461-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E FRANKLIN ST STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142812",
            "telephone_number": "617-379-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRNSBERGER BOUNDS",
        "first_name": "ALEXANDRIA",
        "middle_name": "JEWEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P012756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.