ALEXANDRA SUZANNE HARRISON
NPI 1356941629
Counselor - Mental Health in Springfield, OR

Q: What is Alexandra Harrison's NPI number?

The NPI number for Alexandra Harrison is 1356941629. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Q: What is Alexandra Harrison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Alexandra Harrison enrolled in Medicare?

No. Alexandra Harrison has opted out of Medicare through April 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since October 27, 2020Opted out of Medicare · through Apr 20, 2028

1717 CENTENNIAL BLVD STE 12, SPRINGFIELD, OR 97477(541) 236-3057 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2022, Oct 27, 2020 (2 updates tracked since 2020).

On this page

About Alexandra Suzanne Harrison NPPES

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

ALEXANDRA SUZANNE HARRISON (NPI 1356941629) is an individual mental health provider in Springfield, Oregon and active in the NPI registry since October 2020. She has opted out of Medicare through April 20, 2028.

NPPES Registry Identity

NPI1356941629

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALEXANDRA SUZANNE HARRISON

Location Address1717 CENTENNIAL BLVD STE 12Springfield, OR 97477-3378

Mailing Address3560 Sisters View AveEugene, OR 97401-5312 · (541) 520-0472

Phone(541) 236-3057

Sole ProprietorNo

Enumeration DateOctober 27, 2020

Last NPPES UpdateJune 10, 20222 updates tracked since enumeration

NPPES CertifiedJune 10, 2022

✔ NPI 1356941629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1717 CENTENNIAL BLVD STE 12, Springfield, OR 97477

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alexandra Suzanne Harrison has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 20, 2026 through April 20, 2028.

Opt-Out Effective DateApril 20, 2026

Opt-Out In Effect ThroughApril 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

MELANIE KING VELEZ DNP PMHNP BSN RN

Nurse Practitioner (Psychiatric/Mental Health)