Individual provider Active NPI

Alexa Caporuscio

  • Counselor
  • Lake Orion, MI
National Provider Identifier
1851966097
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
45 N Lapeer St
Lake Orion, MI 48362-3159
Phone
(248) 693-9614
Fax
(248) 693-9615
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

45 N Lapeer St
Lake Orion, MI 48362-3159

Mailing address

45 N Lapeer St
Lake Orion, MI 48362-3159
Phone (248) 693-9614

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

Practice roles

OrganizationSpecialtyStatusNew patients
Place Counseling LLC Dba Treeside Psychological Clinic Counselor CurrentSince May 25, 2025 Accepting new patients

Locations

45 N Lapeer St
Lake Orion, MI 48362
Phone (248) 693-9614

Organizations & group practices 1

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1851966097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N LAPEER ST",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623159",
            "telephone_number": "248-693-9614",
            "fax_number": "248-693-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N LAPEER ST",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623159",
            "telephone_number": "248-693-9614",
            "fax_number": "248-693-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPORUSCIO",
        "first_name": "ALEXA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.