Alexandra Mamolou, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009640 Issued in PA

Practice address

2401 Pennsylvania Ave Ste 1C52
Philadelphia, PA 19130-7723

Phone

(802) 780-0101

NPI assigned

Apr 30, 2018

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

State licenses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1720576259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 INDEPENDENCE AVE",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "190013135",
            "telephone_number": "215-869-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE STE 1C52",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191307723",
            "telephone_number": "802-780-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMOLOU",
        "first_name": "ALEXANDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Mammen
• Mirium Mammen, DO
• Priya Elizabeth Mammen, MD
• Christopher James Mammola, PTA
• Sarah Mammon
• Julianne Mamrol
• Mira Mamtani, MD
• Raashi Mamtani, DO
• Ronac Mamtani, MD
• Betsy Mamtsis

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.