Active NPI
Alexandria Monique Delash, LAC
- Mental Health Counselor
- Queen Creek, AZ
National Provider Identifier
1942961578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC18695
- Practice address
- 21321 E Ocotillo Rd Ste 113
Queen Creek, AZ 85142-5994 - Phone
- (646) 495-4570
- NPI assigned
- Jan 5, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC18695 | AZ | Primary |
Addresses
Primary practice location
21321 E Ocotillo Rd Ste 113
Queen Creek, AZ 85142-5994
Mailing address
21321 E Ocotillo Rd Ste 113
Queen Creek, AZ 85142-5994
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@serenemindcounseling.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| LAC18695 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1942961578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21321 E OCOTILLO RD STE 113",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851425994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21321 E OCOTILLO RD STE 113",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851425994",
"telephone_number": "646-495-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELASH",
"first_name": "ALEXANDRIA",
"middle_name": "MONIQUE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC18695",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@serenemindcounseling.com",
"affiliation": "N",
"endpointDescription": "practice email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21321 E Ocotillo Rd Ste 113",
"city": "Queen Creek",
"state": "AZ",
"country_code": "US",
"postal_code": "851425994",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.