Alexandra R Liberi, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22008274A Issued in IN

Practice address

2012 S Main St Ste B
Goshen, IN 46526-5200

Phone

(574) 534-2025

Fax

(574) 534-2042

NPI assigned

Nov 23, 2021

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

Enrolled in IN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Goshen Health System Inc

  • Family Medicine Physician
  • Goshen, IN
  • NPI 1194772293
  Medicare reassignment Care Compare group NPD
• Goshen Health System Inc

  • Radiology Clinic/Center
  • Goshen, IN
  • NPI 1588190284
  NPD

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1730846825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S MAIN ST STE B",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265200",
            "telephone_number": "574-534-2025",
            "fax_number": "574-534-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S MAIN ST STE B",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265200",
            "telephone_number": "574-534-2025",
            "fax_number": "574-534-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERI",
        "first_name": "ALEXANDRA",
        "middle_name": "R",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008274A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Lynn Lenczycki, MSW, LSW
• Araceli Lepe Moreno, LSW
• Brent Frank Lewallen, D.C.
• Latoya S Lewis
• Jingpin Li, MD
• Amber Liddick
• Danielle M. Lies Stutsman, DDS
• Lifestyle Chiropractic & Wellness LLC
• Justin Jeremiah Lightburn, M.D.
• Linda J. Clark, O.D.

• Speech-Language Pathologist in Goshen, IN
• Providers in Goshen, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.