Individual provider Active NPI

Jean Ann Alexander, LMSW-CC

  • Professional Counselor
  • Portland, ME
National Provider Identifier
1750657326
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
#MC12998 Issued in ME
Practice address
168 Woodford St Apt 7
Portland, ME 04103-5629
Phone
(207) 939-9260
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X #MC12998 ME Primary

Addresses

Primary practice location

168 Woodford St Apt 7
Portland, ME 04103-5629

Mailing address

168 Woodford St Apt 7
Portland, ME 04103-5629
Phone (207) 939-9260

Other names 1

  • Ms. Jean Ann Alexander Former name

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
#MC12998MEMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1750657326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 WOODFORD ST APT 7",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035629",
            "telephone_number": "207-939-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 WOODFORD ST APT 7",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035629",
            "telephone_number": "207-939-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW-CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "#MC12998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "ALEXANDER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LMSW-CC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.