Individual provider Active NPI

Alexandra Perez-Kohl, LMFT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1992428122
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2315124 Issued in WI
Practice address
2814 Coolidge St
Madison, WI 53704-4513
Phone
(608) 218-4251
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2315124 WI Primary

Addresses

Primary practice location

2814 Coolidge St
Madison, WI 53704-4513

Mailing address

2814 Coolidge St
Madison, WI 53704-4513
Phone (608) 218-4251

Other names 1

  • Alexandra Perez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611001279 WI Practitioner - Marriage and Family Therapist 4082124730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Counseling and Consultation LLCGroup PAC ID 0042668709, 7 clinicians

Practice addresses (Care Compare)

2000 Fordem Ave
Madison, WI 53704-4600
Phone (608) 455-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2315124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peko Therapy LLC CurrentSince Apr 6, 2025 Accepting new patients
Forward Counseling and Consultation LLC CurrentSince Apr 29, 2025 Accepting new patients
Anesis Center for Marriage and Family Therapy Marriage & Family Therapist PastSince Aug 1, 2024 Accepting new patients
Anesis Foundation for Mental Health Inc. PastSince Feb 24, 2026 Accepting new patients

Locations

2000 Fordem Ave
Madison, WI 53704
Phone (608) 280-2740

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

2000 Engel St
Ste 201
Monona, WI 53713
Phone (608) 255-5135

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1992428122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 COOLIDGE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044513",
            "telephone_number": "608-218-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 COOLIDGE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044513",
            "telephone_number": "608-218-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-KOHL",
        "first_name": "ALEXANDRA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2315124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "PEREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.