ALEXANDRA LILLY MS, PLPC
NPI 1184195901
Counselor - Professional in Springfield, MO

Active since December 06, 2018PECOS Enrolled
1111 S GLENSTONE AVE STE 3-100, SPRINGFIELD, MO 65804(417) 869-8911 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2019, Feb 22, 2019, Dec 14, 2018 and 1 more (4 updates tracked since 2018).

About Alexandra Lilly Ms, Plpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA LILLY MS, PLPC (NPI 1184195901) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2018041456) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184195901
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALEXANDRA LILLYCredential: MS, PLPC
Location Address1111 S GLENSTONE AVE STE 3-100Springfield, MO 65804-0397
Mailing Address2310 E Harrison StSpringfield, MO 65802-2869 · (417) 689-5403
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 6, 2018
Last NPPES UpdateMay 1, 20254 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1184195901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2018041456
1111 S GLENSTONE AVE STE 3-100, Springfield, MO 65804

Secondary Practice Locations 2

Location 15608 N 13th AveOzark, MO 65721-6314 · Phone (417) 581-6911 · Fax (417) 581-6901
Location 21000 N Boonville AveSpringfield, MO 65802-3804 · Phone (417) 829-6673

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Lilly Ms, Plpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274099619
PECOS Enrollment IDI20260727002917
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Lilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2885 W BATTLEFIELD ST
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
1111 S GLENSTONE AVE STE 3-100
SPRINGFIELD, MO 65804
Social Worker (Clinical)
1111 S GLENSTONE AVE STE 3-100
SPRINGFIELD, MO 65804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Lilly's NPI number?

The NPI number for Alexandra Lilly is 1184195901. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Where is Alexandra Lilly located?

Alexandra Lilly practices at 1111 S Glenstone Ave Ste 3-100, Springfield, MO 65804. The listed phone number is (417) 869-8911.

What is Alexandra Lilly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alexandra Lilly enrolled in Medicare?

Yes. Alexandra Lilly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandra Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Lilly reassigns Medicare benefits to Supported Living And Employment Services, Inc. (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandra Lilly was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.