Individual provider Active NPI

Alexander Walden Lee

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1730995747
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
96966 Issued in TX
Practice address
110 Rockleigh PL
Houston, TX 77017-2516
Phone
(346) 352-3118
NPI assigned
Dec 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 96966 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 96966 TX
Mental Health Counselor 101YM0800X 96966 TX Primary

Addresses

Primary practice location

110 Rockleigh PL
Houston, TX 77017-2516

Mailing address

6130 Lago Mar Blvd Apt 6306
Texas City, TX 77591-1446
Phone (512) 671-0712

Other practice location 1

6130 Lago Mar Blvd Apt 6306
Texas City, TX 77591-1446
Phone (512) 671-0712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
96966TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uhphealth, Inc. CurrentSince Dec 8, 2024 Accepting new patients
360 Therapy & Psychological Services, LLC PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1730995747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 LAGO MAR BLVD APT 6306",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775911446",
            "telephone_number": "512-671-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROCKLEIGH PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770172516",
            "telephone_number": "346-352-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 Lago Mar Blvd Apt 6306",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775911446",
            "country_code": "US",
            "telephone_number": "512-671-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEXANDER",
        "middle_name": "WALDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "96966",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "96966",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "96966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.