Active NPI
Faith Alexander, NCPSS
- Peer Specialist
- Burlington, NC
National Provider Identifier
1760197354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 2024-9542-01
- Practice address
- 322 Georgia Ave
Burlington, NC 27217 - Phone
- (336) 539-6893
- NPI assigned
- Jan 18, 2023
- Last updated
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Health & Wellness Coach | 171400000X | |||
| Community Health Worker | 172V00000X | |||
| Meals Provider | 174200000X | |||
| Peer Specialist | 175T00000X | 2024-9542-01 | NC | Primary |
Addresses
Primary practice location
322 Georgia Ave
Burlington, NC 27217
Mailing address
405 Maple Ave Unit 245
Burlington, NC 27216-0839
Phone (336) 539-6893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Medicaid | NC |
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 |
|---|---|---|---|
| 2024-9542-01 | NC | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1760197354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MAPLE AVE UNIT 245",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272160839",
"telephone_number": "336-539-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 GEORGIA AVE",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "27217",
"telephone_number": "336-539-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "FAITH",
"credential": "NCPSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NC",
"license": "2024-9542-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.