ALEXIS GRAE (NPI# 1255617205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255617205 |
| Entity Type | Individual |
| Full Name | ALEXIS GRAE |
| Credential | MC |
| Practice Address |
5930 E Pima St Suite 208 Tucson AZ 85712-4370 |
| Practice Telephone | 5203201595 |
| Practice Fax Number | 5203209123 |
| Mailing Telephone | 5203201595 |
| Mailing Fax Number | 5203209123 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-2097 | AZ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-1552 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
5930 E PIMA ST SUITE 208 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105069 | Cheryl Weinert Martin | Counselor | 5930 E Pima St, Ste 100, Tucson, AZ 85712-4370 | 2005-09-26 |
| 1093135659 | Lutissua D Ballard | Psychologist | 5930 E Pima St, Suite 200, Tucson, AZ 85712-4370 | 2014-04-22 |
| 1518166529 | Carrie Freedheim Md Pllc | Psychiatry & Neurology | 5930 E Pima St, Suite 130, Tucson, AZ 85712-4370 | 2007-07-11 |
| 1093916173 | Alfred W. Wiggins | Psychologist | 5930 E Pima St, Suite 200, Tucson, AZ 85712-4370 | 2007-05-29 |
| 1265572853 | James C Rau | Clinical Neuropsychologist | 5930 E Pima St, Suite 124, Tucson, AZ 85712-4370 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053931436 | Snaha R Patel | Counselor | 2745 W Shannon Ridge Rd, Tucson, AZ 85742-8961 | 2020-04-25 |
| 1659907236 | Christy Charles | Counselor | 1101 W Prince Rd Ste 111, Tucson, AZ 85705-3135 | 2020-03-16 |
| 1174159750 | Cheryl A Holland | Counselor | 1109 W Prince Rd Ste 111, Tucson, AZ 85705-3127 | 2020-03-16 |
| 1376183962 | David Alexander Lavin | Counselor | 9035 E Woodland Rd, Tucson, AZ 85749-8143 | 2020-01-10 |
| 1518503630 | Stephanie Anne Adler | Counselor | 6700 N Oracle Rd Ste 412, Tucson, AZ 85704-7734 | 2019-11-24 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1083262984 | Native Mind LLC | Counselor | 6294 S Eagle Talon Pkwy, Tucson, AZ 85757 | 2019-09-03 |
| 1770131245 | George Washington Kelly | Counselor | 40 N Swan Rd Ste 114, Tucson, AZ 85711-3019 | 2019-08-28 |
| 1588218630 | David Swihart | Counselor | 10665 N Shannon Rd, Tucson, AZ 85742-9337 | 2019-07-27 |
| 1942779095 | Cathexis Tucson, LLC | Counselor | 4750 N Oracle Rd Ste 106, Tucson, AZ 85705-1676 | 2018-11-19 |
| Find all providers in TUCSON | ||||
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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.