Active NPI
Alexandra Von Oertzen, LMFT
- Marriage & Family Therapist
- Coral Springs, FL
National Provider Identifier
1912308735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT2887
- Practice address
- 7451 Wiles Rd
Coral Springs, FL 33067-2040 - Phone
- (786) 565-2465
- NPI assigned
- Sep 11, 2014
- Last updated
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT2887 | FL | Primary |
Addresses
Primary practice location
7451 Wiles Rd
Coral Springs, FL 33067-2040
Mailing address
2425 E Commercial Blvd
Suite 400
Fort Lauderdale, FL 33308-4034
Phone (786) 565-2465
Other practice location 1
2425 E Commercial Blvd
Suite 400
Fort Lauderdale, FL 33308-4034
Phone (786) 565-2465
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 |
|---|---|---|---|
| MT2887 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1912308735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 E COMMERCIAL BLVD",
"address_2": "SUITE 400",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084034",
"telephone_number": "786-565-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7451 WILES RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330672040",
"telephone_number": "786-565-2465"
}
],
"practiceLocations": [
{
"address_1": "2425 E Commercial Blvd",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333084034",
"country_code": "US",
"telephone_number": "786-565-2465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VON OERTZEN",
"first_name": "ALEXANDRA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.