Alexa Rose Wallerstein, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008917 Issued in NY

Practice address

181 E 73Rd St Apt 14D
New York, NY 10021-3573

Phone

(929) 297-9753

NPI assigned

Feb 5, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rooted Nyc Mental Health Counseling PLLC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1275239931
  NPD Authorized official

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1679227086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 6TH ST APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157219",
            "telephone_number": "973-617-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E 73RD ST APT 14D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213573",
            "telephone_number": "929-297-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLERSTEIN",
        "first_name": "ALEXA",
        "middle_name": "ROSE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Kenneth Wallack, M.D.
• Anna Waller, PHD
• John Felix Waller, M.D.
• Leslie A Waller I, LCSW-RP
• Samantha Waller
• Avery Wallerstein
• Samson Wallerstein, MS
• Pia Wallgren, LCSW
• Julie Wallick, LCSW
• Maria C Walline, MD

• Mental Health Counselor in New York, NY
• Providers in New York, 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 Feb 5, 2022; 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.