ALEXIS ACEVEDO (NPI# 1073904975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073904975 |
| Entity Type | Individual |
| Full Name | ALEXIS ACEVEDO |
| Credential | LMHC, CASAC |
| Practice Address |
14 Bruckner Blvd Ste 3e Bronx NY 10454 |
| Mailing Address |
73 Lenox Ave New York NY 10026-3007 |
| Practice Telephone | 9177903980 |
| Practice Fax Number | 7189933419 |
| Mailing Telephone | 2126631596 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ACT | 133306195 | 01 | |
| NY | 01764878 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 73 Lenox Ave, New York, NY 100263007 | 2126631596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288052 | Alexis Acevedo | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-03 |
| 1902302995 | Alexis Acevedo | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-03-30 |
| Street Address |
14 BRUCKNER BLVD STE 3E |
| City | BRONX |
| State | NY |
| Zip Code | 10454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1982122628 | Jacob Mauro Dominguez | Licensed Practical Nurse | 223 Brook Av, Bronx, NY 10454 | 2017-09-01 |
| 1730618182 | Geanell Compton | Speech-Language Pathologist | 345 Brook Avenue, Bronx, NY 10454 | 2017-06-08 |
| 1285084053 | Everlaines Chapman Viltres | Registered Nurse | 426 E 141st St Apt 2, Bronx, NY 10454 | 2016-06-13 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1609266949 | Andira Pena | Licensed Practical Nurse | 803 East 138th Street, Bronx, NY 10454 | 2015-01-26 |
| 1154675833 | Niki Patel | Occupational Therapist | 468 East 140th Street, Bronx, NY 10454 | 2012-11-02 |
| 1851697395 | New Superior Radio Group, Corp. | Taxi | 133 Lincoln Avenue, Bronx, NY 10454 | 2011-02-01 |
| 1154639466 | Kenisha Lyttleton | Registered Nurse | 615 E 141 St, Bronx, NY 10454 | 2010-09-21 |
| Find all providers in zip 10454 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1578162400 | Nancy Alfaro | Counselor | 280 E 134th St Apt 6b, Bronx, NY 10454-4585 | 2020-10-21 |
| 1639778954 | Healthy Minds Nyc Pllc | Counselor | 3060 Albany Cres Apt 33, Bronx, NY 10463-5637 | 2020-10-19 |
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1033725908 | Richard Anthony Robinson | Counselor | 1530 Plimpton Ave Apt 1b, Bronx, NY 10452-1741 | 2020-09-16 |
| 1477168680 | Fathima Humaira Naushad | Counselor | 3508 Kings College Pl Apt 4d, Bronx, NY 10467-1562 | 2020-09-14 |
| 1790399491 | Rossi Alim Hassad | Counselor | 1980 Unionport Rd Apt E31, Bronx, NY 10462-2864 | 2020-09-01 |
| 1659983054 | Xioel Lissette Terrero | Counselor | 780 Pelham Pkwy S Apt E14, Bronx, NY 10462-1105 | 2020-08-18 |
| 1114537644 | Alexandra Carter | Counselor | 1021 Jennings St, Bronx, NY 10460-6010 | 2020-08-10 |
| 1801414040 | Andrea Fernandez | Counselor | 2190 Bolton St Apt 3b, Bronx, NY 10462-1317 | 2020-07-13 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.