ALEXANDRA LUNDBERG (NPI# 1265925465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265925465 |
| Entity Type | Individual |
| Full Name | ALEXANDRA LUNDBERG |
| Credential | LPCA |
| Practice Address |
650 Highland Ave Ste 100 Winston Salem NC 27101-4304 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3366078523 |
| Mailing Telephone | 7049391100 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A12807 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
A12807 | NC | Behavioral Health & Social Service Providers |
| Street Address |
650 HIGHLAND AVE STE 100 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083763536 | Daymark Recovery Services Inc | Counselor | 650 Highland Ave Ste 100, Winston Salem, NC 27101-4304 | 2007-01-10 |
| 1417560970 | Anee Kaur | Physician Assistant | 650 Highland Ave Ste 100, Winston Salem, NC 27101-4304 | 2020-08-25 |
| 1104449305 | Matthew Reiland | Counselor | 650 Highland Ave Ste 100, Winston Salem, NC 27101-4304 | 2020-05-21 |
| 1740719202 | Freda Maria Davis | Social Worker | 650 Highland Ave Ste 100, Winston Salem, NC 27101 | 2017-06-08 |
| 1518369065 | Derrick Fowler | Counselor | 650 Highland Ave Ste 100, Winston Salem, NC 27101-4304 | 2014-09-16 |
| 1225385289 | Annette N Gaither | Counselor | 650 Highland Ave Ste 100, Winston Salem, NC 27101-4304 | 2012-08-09 |
| 1508169889 | Donna Lucille Roberson | Counselor | 650 Highland Ave Ste 100, Winston Salem, NC 27101 | 2010-12-08 |
| 1013155969 | Lillykutty A Modoor | Nurse Practitioner | 650 Highland Ave Ste 100, Winston Salem, NC 27101-4304 | 2009-01-30 |
| 1104034883 | Daymark Recovery Services Inc | Psychiatry & Neurology | 650 Highland Ave Ste 100, Winston Salem, NC 27101-4304 | 2007-05-18 |
| 1790807535 | Daymark Recovery Servcies Inc | Counselor | 650 Highland Ave Ste 100, Winston Salem, NC 27101 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723301 | Open Hearts Healing Minds | Counselor | 2714 Henning Dr Ste 4, Winston Salem, NC 27106-4502 | 2020-06-02 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1568000610 | Lynn Bentley | Counselor | 4945 Century Oaks Ln, Winston Salem, NC 27106-8721 | 2019-12-18 |
| 1467007468 | Teresa Flake | Counselor | 605 W 24 1/2 St, Winston Salem, NC 27105-4904 | 2019-08-06 |
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1750888038 | Moore Ways To Success LLC | Counselor | 500 W 4th St Ste 203g, Winston Salem, NC 27101-2782 | 2018-04-12 |
| 1336643386 | Aileen Imana Lassiter | Counselor | 1462 Cherry St Apt 121, Winston Salem, NC 27105-5888 | 2018-03-22 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1538676481 | Aubrey Carr Wendelboe | Counselor | 3000 Bethesda Pl Ste 103, Winston Salem, NC 27103-3323 | 2018-01-01 |
| 1528508330 | Janell Lafaye Jordan | Counselor | 5354 Villas Dr, Winston Salem, NC 27103-6462 | 2017-02-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.