Individual provider Active NPI

Alexis Rae Burrow, LPCC-S

  • Professional Counselor
  • Hilliard, OH
National Provider Identifier
1790142370
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0602053 Issued in OH
Practice address
3535 Fishinger Blvd Ste 110
Hilliard, OH 43026
Phone
(513) 543-9207
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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 E0602053 OH Primary

Addresses

Primary practice location

3535 Fishinger Blvd Ste 110
Hilliard, OH 43026

Mailing address

3535 Fishinger Blvd Ste 110
Hilliard, OH 43026-2000
Phone (513) 543-9207

Other practice location 1

4783 Leap Ct
Hilliard, OH 43026-1181
Phone (513) 543-9207

Other names 1

  • Ms. Alexis Rae 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
E0602053OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1790142370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD STE 110",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262000",
            "telephone_number": "513-543-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD STE 110",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "513-543-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4783 Leap Ct",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430261181",
            "country_code": "US",
            "telephone_number": "513-543-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROW",
        "first_name": "ALEXIS",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0602053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "RAE",
            "prefix": "MS.",
            "credential": "LPCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.