Individual provider Active NPI

Lesli Jordan Alexander

  • Counselor
  • Omaha, NE
National Provider Identifier
1730856295
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12108 Issued in NE
Practice address
5074 Ames Ave
Omaha, NE 68104-2323
Phone
(531) 355-3025
Fax
(531) 355-7150
NPI assigned
Aug 24, 2021
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7443 NE
Clinical Social Worker 1041C0700X 12108 NE
Counselor 101Y00000X 12108 NE Primary

Addresses

Primary practice location

5074 Ames Ave
Omaha, NE 68104-2323

Mailing address

5074 Ames Ave
Omaha, NE 68104-2323
Phone (531) 355-3025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20241105003961 NE Practitioner - Mental Health Counselor 3577097138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12108NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Over Matter Counseling Services LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

5410 S 99th St
Omaha, NE 68127
Phone (402) 301-2312

955 N Adams St
Ste 8
Papillion, NE 68046
Phone (402) 339-0506

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1730856295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042323",
            "telephone_number": "531-355-3025",
            "fax_number": "531-355-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042323",
            "telephone_number": "531-355-3025",
            "fax_number": "531-355-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "LESLI",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "7443",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "12108",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "12108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.