Alec Manalac-Kwasna, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NLC.0110197 Issued in CO

Practice address

340 E 1St Ave Ste 300
Broomfield, CO 80020-2454

Phone

(631) 742-9443

NPI assigned

Jun 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1972162402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE STE 300",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202454",
            "telephone_number": "631-742-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE STE 300",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202454",
            "telephone_number": "631-742-9443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 S Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802223305",
            "country_code": "US",
            "telephone_number": "303-756-9052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANALAC-KWASNA",
        "first_name": "ALEC",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-09",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0110197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indira Mahalingam, M.D.
• Woytek Makala, PT, DPT
• Douglas Howard Malcolm, PHARMD
• Stephanie Mallen, CNIM
• Robert Scott Malone, L.AC.
• Jeffrey Anthony Mandl, ANP-C
• Amanda Manning, MS, CCC-SLP
• Chelsea Mansfield, D.M.D.
• Aseal Mark Mansour
• Nicholas P Manteris, DC

• Mental Health Counselor in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.