Individual provider Active NPI

Alexandra Marie Schultz, MA, LPCC

  • Professional Counselor
  • Elk River, MN
National Provider Identifier
1780005207
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1639 Issued in MN
Practice address
19230 Evans St NW Ste 204
Elk River, MN 55330-1574
Phone
(612) 424-1870
NPI assigned
Dec 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 1639 MN Primary

Addresses

Primary practice location

19230 Evans St NW Ste 204
Elk River, MN 55330-1574

Mailing address

21308 John Milless Dr Ste 202
Rogers, MN 55374-4855
Phone (612) 424-1870

Other practice location 1

21308 John Milless Dr Ste 202
Rogers, MN 55374-4855
Phone (612) 424-1870

Other practice location 2

7041 20th Ave
Centerville, MN 55038-9737
Phone (651) 407-3631

Other practice location 3

1833 3rd Ave
Anoka, MN 55303-2424
Phone (763) 421-5535

Other practice location 4

19230 Evans St NW Ste 204
Elk River, MN 55330-1574
Phone (612) 424-1870

Other practice location 5

9201 Quaday Ave NE Ste 205
Otsego, MN 55330-6604
Phone (612) 424-1870

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Therapeutics LLC Professional Current Accepting new patients
Family Innovations, Inc. Professional PastSince May 1, 2019 Accepting new patients
Parasol Wellness Collaborative PastSince Aug 2, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1780005207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21308 JOHN MILLESS DR STE 202",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744855",
            "telephone_number": "612-424-1870",
            "fax_number": "651-222-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19230 EVANS ST NW STE 204",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301574",
            "telephone_number": "612-424-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21308 John Milless Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "MN",
            "postal_code": "553744855",
            "country_code": "US",
            "telephone_number": "612-424-1870",
            "fax_number": "651-222-9727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7041 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "MN",
            "postal_code": "550389737",
            "country_code": "US",
            "telephone_number": "651-407-3631",
            "fax_number": "651-407-3751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1833 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "553032424",
            "country_code": "US",
            "telephone_number": "763-421-5535",
            "fax_number": "763-433-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19230 Evans St NW Ste 204",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301574",
            "country_code": "US",
            "telephone_number": "612-424-1870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 Quaday Ave NE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Otsego",
            "state": "MN",
            "postal_code": "553306604",
            "country_code": "US",
            "telephone_number": "612-424-1870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.