Individual provider Active NPI

Alexandra Jacobi, M.S., LPC, LCPC

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1679963953
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PRC15034 Issued in DC
Practice address
1400 20TH St NW
Washington, DC 20036
Phone
(443) 470-9042
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC6038 MD
Mental Health Counselor 101YM0800X PRC15034 DC Primary

Addresses

Primary practice location

1400 20TH St NW
Washington, DC 20036

Mailing address

1239 Vermont Ave NW Apt 506
Washington, DC 20005-3648

Other practice location 1

28 Allegheny Ave
Suite 510
Towson, MD 21204-3909
Phone (410) 828-0101

Other practice location 2

28 Allegheny Ave
Suite 510
Towson, MD 21204-3909
Phone (410) 828-0101

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PRC15034DCMDMental Health Counselor
LC6038MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Counseling & Wellness Center, LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1679963953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 VERMONT AVE NW APT 506",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 20TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20036",
            "telephone_number": "443-470-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Allegheny Ave",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212043909",
            "country_code": "US",
            "telephone_number": "410-828-0101",
            "fax_number": "410-828-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Allegheny Ave",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212043909",
            "country_code": "US",
            "telephone_number": "410-828-0101",
            "fax_number": "410-828-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "ALEXANDRA",
        "credential": "M.S., LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC6038",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC15034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.