Organization Active NPI

Alexandra Brueckner Creative Arts LLC

  • Mental Health Counselor
  • Harrison, NY
National Provider Identifier
1891182671
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001261 Issued in NY
Legal business name
ALEXANDRA BRUECKNER CREATIVE ARTS LLC
Practice address
395 West St
Harrison, NY 10528-2503
Phone
(914) 260-7784
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Miss Alexandra Brueckner, L.C.A.T.NPI 1346561180
Title
Owner
Phone
(914) 260-7784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001261 NY Primary

Addresses

Primary practice location

395 West St
Harrison, NY 10528-2503

Mailing address

395 West St
Harrison, NY 10528-2503
Phone (914) 260-7784

National Provider Directory

National Provider Directory
Tax ID family
Alexandra Brueckner Creative Arts LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1891182671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 WEST ST",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282503",
            "telephone_number": "914-260-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 WEST ST",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282503",
            "telephone_number": "914-260-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA BRUECKNER CREATIVE ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "BRUECKNER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-260-7784",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "L.C.A.T."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.