ALEXANDREA WALLGREN CRC
NPI 1316475494
Counselor in Buffalo, NY

Q: What is Alexandrea Wallgren's NPI number?

The NPI number for Alexandrea Wallgren is 1316475494. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Q: What is Alexandrea Wallgren's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since June 01, 2017PECOS Enrolled

430 NIAGARA ST, BUFFALO, NY 14201(716) 856-2587(716) 856-2608 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 1, 2017 (2 updates tracked since 2017).

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About Alexandrea Wallgren Crc NPPES

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

ALEXANDREA WALLGREN CRC (NPI 1316475494) is an individual counselor in Buffalo, New York and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316475494

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameALEXANDREA WALLGRENCredential: CRC

Location Address430 NIAGARA STBuffalo, NY 14201-1886

Mailing Address430 Niagara StBuffalo, NY 14201-1886 · (716) 856-2587 · Fax (716) 856-2608

Phone(716) 856-2587

Fax(716) 856-2608

Sole ProprietorNo

Enumeration DateJune 1, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1316475494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

430 NIAGARA ST, Buffalo, NY 14201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandrea Wallgren Crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

ANDREA CAROLINA FLOREZ MARINO

Counselor (Mental Health)