Alexandra Wulbecker, MED, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC03753 Issued in MN

Practice address

7401 Metro Blvd Ste 510
Edina, MN 55439-3033

Phone

(952) 835-8513

NPI assigned

Mar 3, 2025

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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 Arts, 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.

• Premier Sport Psychology, PLLC

  • Psychologist
  • Edina, MN
  • NPI 1104779586
  NPD (past)

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1992503478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9637 4TH STREET LN N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550424524",
            "telephone_number": "847-337-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 510",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393033",
            "telephone_number": "952-835-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULBECKER",
        "first_name": "ALEXANDRA",
        "credential": "MED, MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Jian Wu, DO
• George Ming Jen Wu, M.D.
• Natalie Duan Wu, M.D.
• Amy Lynne Wudel, MD
• Justin Michael Wudel, MD
• Corey A Wulf, M.D.
• Abby Florence Wulfing, M.A.
• Wunderkind, Inc. (Wunderkind)
• Ronald Joseph Wutchiett, PH.D.
• Catherine Xenakis

• Mental Health Counselor in Edina, MN
• Providers in Edina, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.