ALEXANDRA BACON LCSW
NPI 1457193229
Counselor - Mental Health in Charlotte, NC

Q: What is Alexandra Bacon's NPI number?

The NPI number for Alexandra Bacon is 1457193229. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Q: What is Alexandra Bacon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexandra Bacon was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 11, 2024

1412 PROVIDENCE RD, CHARLOTTE, NC 28207(704) 714-6981 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alexandra Bacon Lcsw NPPES

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

ALEXANDRA BACON LCSW (NPI 1457193229) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (C004026) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1457193229

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALEXANDRA BACONCredential: LCSW

Location Address1412 PROVIDENCE RDCharlotte, NC 28207-2543

Mailing Address1412 Providence RdCharlotte, NC 28207-2543

Phone(704) 714-6981

Sole ProprietorNo

Enumeration DateJune 11, 2024

NPPES CertifiedJune 11, 2024

✔ NPI 1457193229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · C004026

1412 PROVIDENCE RD, Charlotte, NC 28207

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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 Bacon's NPI number?

The NPI number for Alexandra Bacon is 1457193229. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Alexandra Bacon located?

Alexandra Bacon practices at 1412 Providence Rd, Charlotte, NC 28207. The listed phone number is (704) 714-6981.

What is Alexandra Bacon's specialty?

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

When was this NPI record last updated?

The NPPES record for Alexandra Bacon was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.