Alexandria Wyeth Zettler, ATR-BC, CTT, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC15771 Issued in FL

Practice address

522 E Park Ave Ste 200
Tallahassee, FL 32301-2583

Phone

(850) 391-9891

Fax

(850) 765-5120

NPI assigned

Jul 12, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821510611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLLETON CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113640",
            "telephone_number": "850-391-9891",
            "fax_number": "850-765-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E PARK AVE STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012583",
            "telephone_number": "850-391-9891",
            "fax_number": "850-765-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12471 Gulf Blvd",
            "address_purpose": "LOCATION",
            "city": "Cedar Key",
            "state": "FL",
            "postal_code": "326256111",
            "country_code": "US",
            "telephone_number": "352-543-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3689 Coolidge Ct Unit 3",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323117912",
            "country_code": "US",
            "telephone_number": "352-289-8086",
            "fax_number": "833-487-2862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Colleton Ct",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323113640",
            "country_code": "US",
            "telephone_number": "850-591-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Piedmont Dr E Ste 201C",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323087961",
            "country_code": "US",
            "telephone_number": "850-391-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZETTLER",
        "first_name": "ALEXANDRIA",
        "middle_name": "WYETH",
        "name_prefix": "Dr.",
        "credential": "ATR-BC, CTT, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MC15771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.