Alexis Megan Mardosa, LPC, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00747600 Issued in NJ

Practice address

113 State RT 284
Sussex, NJ 07461-3414

Phone

(973) 294-6339

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1730756016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 STATE RT 284",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074613414",
            "telephone_number": "973-294-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 STATE RT 284",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074613414",
            "telephone_number": "973-294-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDOSA",
        "first_name": "ALEXIS",
        "middle_name": "MEGAN",
        "credential": "LPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00747600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR",
            "identifier": "37PC00747600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo Ellen C Kattermann, PT
• Thomas E. Lapinski, D.M.D
• Jessica Charlotte Lawlor, CPM
• Maida Rosa Lewinson, RN
• Nevila Malile, OROFACIAL MYOLOGIST
• Randi Kirsten McBride, RPH
• Nadine Fay McCarthy, RPH
• Christine McCormack, LMT, CPT
• Frank R Meijer, DMD
• John R Meyer, ATC

• Mental Health Counselor in Sussex, NJ
• Providers in Sussex, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.