Cortni T Alexander-Lewis, LMFT
Individual provider Active NPI Mental Health Counselor · Montclair, CA
NPI 1932664232 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1932664232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 148034 (CA)
- Practice address
- 9093 Sycamore Ave Unit 108
Montclair, CA 91763-1553 - Phone
- (909) 685-3930
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905002041 | CA | Practitioner - Marriage and Family Therapist | 8820538861 | Practice locations: Montclair, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 148034 | CA | Yes |
Addresses
Primary practice location
9093 Sycamore Ave Unit 108
Montclair, CA 91763-1553
Mailing address
9093 Sycamore Ave
Montclair, CA 91763-1554
Phone (424) 394-1205
Other providers in Montclair, CA
- Denise Alcantar
- Eric Alcantara
- Mauricio Aldaba
- Angelica Alegria
- Serina Alex
- Erika Camisse Cabanes Diaz Alexander
- Valerie Algara
- Azra Ali
- Alite Mobility and Medical Supplies
- Zahra Alkhamaisi
All providers in Montclair, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.