Individual provider Active NPI

Alexander James Neverton

  • Counselor
  • Saint Paul, MN
National Provider Identifier
1720346349
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
817 Ottawa Ave
Saint Paul, MN 55107-3518
Phone
(828) 719-9349
NPI assigned
May 2, 2012
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

817 Ottawa Ave
Saint Paul, MN 55107-3518

Mailing address

817 Ottawa Ave
Saint Paul, MN 55107-3518
Phone (828) 719-9349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240523002180 MN Practitioner - Mental Health Counselor 3476926114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mentallurgy PLLCGroup PAC ID 2567835200, 5 clinicians

Practice addresses (Care Compare)

8500 Normandale Lake Blvd
Suite 350
Bloomington, MN 55437-3805
Phone (612) 524-9619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2569MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mentallurgy, PLLC Counselor CurrentSince Jan 1, 2023 Accepting new patients

Locations

8500 Normandale Lake Blvd
Ste 350
Minneapolis, MN 55437
Phone (612) 405-9412

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, 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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1720346349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 OTTAWA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073518",
            "telephone_number": "828-719-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 OTTAWA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073518",
            "telephone_number": "828-719-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVERTON",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.