Alexandria Song

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0017454 Issued in CO

Practice address

9233 Park Meadows Dr Ste 121
Lone Tree, CO 80124-5698

Phone

(720) 503-4329

NPI assigned

Jun 7, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 10, 2024 through Jul 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1871160168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16322 E HIALEAH DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 PARK MEADOWS DR STE 121",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245698",
            "telephone_number": "720-503-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0017454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "https://mydenvertherapy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9233 Park Meadows Dr Ste 121",
            "city": "Lone Tree",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801245698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marissa Snyder, NP
• Sofi Research, LLC
• John Chris Sohayda, MD
• Somnia Sleep Wellness, Inc
• Katrina Sondermann, MSN, RN
• Jimmy Song, PA-C
• Kevin Kraft Song, DO
• D. Maxine Sonnenberg, D.C.
• Lisa K Sorensen, ANP
• Neil Sorokin, PSYCHOLOGIST

• Mental Health Counselor in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.