Active NPI
Alexandra Mott
- Professional Counselor
- Derby, NY
National Provider Identifier
1750770673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 008107
- Practice address
- 6910 Hamilton Dr
Derby, NY 14047-9517 - Phone
- (716) 352-9722
- NPI assigned
- Jan 15, 2015
- Last updated
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Professional Counselor | 101YP2500X | 11224 | CA | |
| Professional Counselor | 101YP2500X | LPC0018775 | CO | |
| Professional Counselor | 101YP2500X | 21591 | AZ | |
| Professional Counselor | 101YP2500X | 13069748-6004 | UT | |
| Professional Counselor | 101YP2500X | 37PC00971800 | NJ | |
| Professional Counselor | 101YP2500X | 92599 | TX | |
| Professional Counselor | 101YP2500X | 008107 | NY | Primary |
Addresses
Primary practice location
6910 Hamilton Dr
Derby, NY 14047-9517
Mailing address
6910 Hamilton Dr
Derby, NY 14047-9517
Phone (716) 352-9722
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21591 | AZ | MD | Professional Counselor |
| 11224 | CA | MD | Professional Counselor |
| LPC0018775 | CO | MD | Professional Counselor |
| 37PC00971800 | NJ | MD | Professional Counselor |
| 008107 | NY | MD | Professional Counselor |
| 92599 | TX | MD | Professional Counselor |
| 13069748-6004 | UT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Erie | Past | Accepting new patients | |
| Uplift Behavioral Health PC | Past | Accepting new patients | |
| Shine Medical of Ca PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1427416627
-
- Psychiatry Physician
- San Jose, CA
- NPI 1942935473
-
- Adult Mental Health Clinic/Center
- Bethesda, MD
- NPI 1629740410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1750770673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 HAMILTON DR",
"city": "DERBY",
"state": "NY",
"postal_code": "140479517",
"telephone_number": "716-352-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6910 HAMILTON DR",
"city": "DERBY",
"state": "NY",
"postal_code": "140479517",
"telephone_number": "716-352-9722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTT",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "11224",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC0018775",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "21591",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "13069748-6004",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00971800",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "92599",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "008107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.