Active NPI
Randy Alexis
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
National Provider Identifier
1942033154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 15 2ND Ave FL 3
Brooklyn, NY 11215-2711 - Phone
- (718) 514-6007
- NPI assigned
- Aug 22, 2024
- Sex
- Male
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
15 2ND Ave FL 3
Brooklyn, NY 11215-2711
Mailing address
15 2ND Ave FL 3
Brooklyn, NY 11215-2711
Other practice location 1
561 E 29th St
Brooklyn, NY 11210-1444
Phone (347) 520-1087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2024.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1942033154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 2ND AVE FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 2ND AVE FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152711",
"telephone_number": "718-514-6007"
}
],
"practiceLocations": [
{
"address_1": "561 E 29th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112101444",
"country_code": "US",
"telephone_number": "347-520-1087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXIS",
"first_name": "RANDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-22",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.