Active NPI
Alexandra Back, ATR-BC, LPC
- Art Therapist
- Voorhees, NJ
National Provider Identifier
1851982177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 17-140
- Practice address
- 2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910 - Phone
- (856) 346-0005
- NPI assigned
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC010424 | PA | |
| Art Therapist | 221700000X | 17-140 | Primary |
Addresses
Primary practice location
2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910
Mailing address
2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910
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 |
|---|---|---|---|
| PC010424 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1851982177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 VOORHEES TOWN CTR",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080431910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 VOORHEES TOWN CTR",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080431910",
"telephone_number": "856-346-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACK",
"first_name": "ALEXANDRA",
"credential": "ATR-BC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC010424",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": "17-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.