Individual provider Active NPI

Alexis Victoria-Kreske Langdon, M.A., LPA, HSP-PA

  • Psychologist
  • Asheville, NC
National Provider Identifier
1871909176
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4325 Issued in NC
Practice address
111 McDowell St
Asheville, NC 28801-4409
Phone
(828) 412-3144
Fax
(828) 782-3002
NPI assigned
Jul 8, 2014
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4325 NC Primary

Addresses

Primary practice location

111 McDowell St
Asheville, NC 28801-4409

Mailing address

PO Box 1772
Skyland, NC 28776-1772
Phone (786) 256-3266

Other practice location 1

12 Park Ave
Asheville, NC 28803-2056
Phone (786) 256-3266

Other names 1

  • Alexis Victoria Kreske 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4325NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Psychological Assessment Center (Cpac) CurrentSince Apr 9, 2024 Accepting new patients

Locations

111 McDowell St
Asheville, NC 28801
Phone (828) 285-0969

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1871909176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1772",
            "city": "SKYLAND",
            "state": "NC",
            "postal_code": "287761772",
            "telephone_number": "786-256-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014409",
            "telephone_number": "828-412-3144",
            "fax_number": "828-782-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032056",
            "country_code": "US",
            "telephone_number": "786-256-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGDON",
        "first_name": "ALEXIS",
        "middle_name": "VICTORIA-KRESKE",
        "credential": "M.A., LPA, HSP-PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "KRESKE",
            "middle_name": "VICTORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.