Individual provider Active NPI

Alexandra Liana Kearney

  • Mental Health Counselor
  • Yorktown Heights, NY
National Provider Identifier
1740867605
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
611 Hanover St
Yorktown Heights, NY 10598-5901
Phone
(914) 471-7859
NPI assigned
Mar 26, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

611 Hanover St
Yorktown Heights, NY 10598-5901

Mailing address

611 Hanover St
Yorktown Heights, NY 10598-5901
Phone (914) 471-7859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250404002776 NY Practitioner - Mental Health Counselor 7315461985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Purposeful Living Mental Health Counseling PLLCGroup PAC ID 4082053194, 4 clinicians

Practice addresses (Care Compare)

Staten Island, NY 10312
Phone (917) 834-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015677NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Purposeful Living Mental Health Counseling, PLLC Mental Health CurrentSince Mar 6, 2025 Accepting new patients

Locations

38 W 32nd St
Ste 1606
New York, NY 10001
Phone (917) 834-6500

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1740867605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HANOVER ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105985901",
            "telephone_number": "914-471-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HANOVER ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105985901",
            "telephone_number": "914-471-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "ALEXANDRA",
        "middle_name": "LIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.