Active NPI
Alexandra Emery, PHD
- Counseling Psychologist
- Tacoma, WA
National Provider Identifier
1679168686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 61097006
- Practice address
- 2107 N Ferdinand St
Tacoma, WA 98406-3427 - Phone
- (360) 280-3563
- NPI assigned
- Mar 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 61097006 | WA | Primary |
Addresses
Primary practice location
2107 N Ferdinand St
Tacoma, WA 98406-3427
Mailing address
2107 N Ferdinand St
Tacoma, WA 98406-3427
Phone (360) 280-3563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 2, 2021 through Mar 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61097006 | WA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1679168686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 N FERDINAND ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984063427",
"telephone_number": "360-280-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 N FERDINAND ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984063427",
"telephone_number": "360-280-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "61097006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.