Organization Active NPI

Alexis James Virtual Counseling

  • Mental Health Counselor
  • Fayetteville, NY
National Provider Identifier
1720633779
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ALEXIS JAMES VIRTUAL COUNSELING
Practice address
416 McClennan Dr
Fayetteville, NY 13066-1241
Phone
(716) 867-4251
NPI assigned
Aug 6, 2019
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Alexis James, LMHCNPI 1962832584
Title
Owner
Phone
(904) 404-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

416 McClennan Dr
Fayetteville, NY 13066-1241

Mailing address

2363 James St # 652
Syracuse, NY 13206-2840
Phone (904) 404-5400

Other practice location 1

113 Munson Dr
Syracuse, NY 13205-2812
Phone (716) 867-4251

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

Locations

7643 Gate Pkwy
Ste 1041224
Jacksonville, FL 32256

2363 James St
#652
Syracuse, NY 13206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1720633779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 JAMES ST # 652",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062840",
            "telephone_number": "904-404-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MCCLENNAN DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661241",
            "telephone_number": "716-867-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Munson Dr",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132052812",
            "country_code": "US",
            "telephone_number": "716-867-4251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEXIS JAMES VIRTUAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-404-5400",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.