ALEXIS ACEVEDO LMHC CASAC NPI 1073904975

NPI Information

NPI: 1073904975
Provider Name: ALEXIS ACEVEDO, LMHC, CASAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
14 BRUCKNER BLVD STE 3E
BRONX, NY
ZIP 10454
Phone: (917) 790-3980
Get Directions

Alexis Acevedo, LMHC, CASAC is a mental health counselor in Bronx, NY. Alexis Acevedo, LMHC, CASAC NPI is 1073904975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14 BRUCKNER BLVD STE 3E
BRONX, NY
ZIP 10454
Phone: (917) 790-3980
Fax: (718) 993-3419

The enumeration date for this NPI number is 2/12/2015 and was last updated on 5/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01764878	MEDICAID	NEW YORK
2	133306195	OTHER		ACT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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