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ALEXANDRA LONGSWORTH M.A.
NPI 1417236647
Marriage & Family Therapist in Santa Clara, CA

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054(323) 205-7088 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2026, Apr 16, 2026 (2 updates tracked since 2026).

About Alexandra Longsworth M.a. NPPES

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

ALEXANDRA LONGSWORTH M.A. (NPI 1417236647) is an individual marriage & family therapist in Santa Clara, California, licensed in California (122249) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417236647
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameALEXANDRA LONGSWORTHCredential: M.A.
Location Address5201 GREAT AMERICA PKWY STE 320Santa Clara, CA 95054-1140
Mailing Address440 Monticello Ave., Ste 1802 #580654Norfolk, VA 23510 · (415) 496-9798
Phone(323) 205-7088
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 5, 2011
Last NPPES UpdateJuly 3, 20262 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1417236647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 122249
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
5201 GREAT AMERICA PKWY STE 320, Santa Clara, CA 95054
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Longsworth M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193256139
PECOS Enrollment IDI20241002000766
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 Reassignments

3

Medicare enrollment records show Alexandra Longsworth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
0.7 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Grow Healthcare Group PC
6.8 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Open Mind Mental Health Physicians, Inc.
412 mi
Clinical
3252 HOLIDAY CT STE 204
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1093454423 (855) 550-6463

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 20

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

MRS. DEBORAH MARIE BOUCHER-CARTER
Marriage & Family Therapist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MR. WILLIAM BRUCE FAMULARO II
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
DANIELLA GALAVIZ LCSW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MS. PRESCILLA DANIELLE JOHN
Psychologist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (646) 681-7506
JASON NERIO
Marriage & Family Therapist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
CUCUMBER WELLNESS, INC.
Psychiatry & Neurology (Psychiatry)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (833) 427-3566
KAYLA BRITTNEY SCHELL LISW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MRS. DIANA BAINBRIDGE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088

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 Longsworth's NPI number?

The NPI number for Alexandra Longsworth is 1417236647. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Alexandra Longsworth located?

Alexandra Longsworth practices at 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054. The listed phone number is (323) 205-7088.

What is Alexandra Longsworth's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Alexandra Longsworth enrolled in Medicare?

Yes. Alexandra Longsworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alexandra Longsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Longsworth reassigns Medicare benefits to 3 organizations: Sud Specialty Group - Ca (Santa Clara, CA), Grow Healthcare Group PC (San Jose, CA) and Open Mind Mental Health Physicians, Inc. (La Jolla, CA). Each 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 Longsworth'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 Longsworth was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.