Alexandra Dawn Peters, M.ED., LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

168322 Issued in KY

Practice address

4835 Poplar Level Rd Ste 110
Louisville, KY 40213-2906

Phone

(859) 780-3019

NPI assigned

Nov 8, 2011

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meridian Behavioral Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1427569219
  NPD (past)

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1982981742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407431027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 POPLAR LEVEL RD STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402132906",
            "telephone_number": "859-780-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ALEXANDRA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2022-07-19",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "168322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pet CT Management LLC
• Pet360 (Petscriptions)
• Pet360 Pharmacy LLC
• Lavanya Wijeratne Peter, PHARM.D.
• Todd Charles Peter, D.M.D.
• Christopher K Peters, MD
• Colin Peters
• James Peters, LMFT
• Jessica Peters
• Lawrence H Peters, MD

• Professional Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.