ALEXA NUTT
NPI 1467038257
Counselor in Champaign, IL

Q: What is Alexa Nutt's NPI number?

The NPI number for Alexa Nutt is 1467038257. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Alexa Nutt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexa Nutt was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 22, 2021PECOS EnrolledAccepts Medicare Assignment

309 W CLARK ST, CHAMPAIGN, IL 61820(217) 398-9066(217) 398-9077 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Mar 22, 2021 (2 updates tracked since 2021).

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About Alexa Nutt NPPES

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

ALEXA NUTT (NPI 1467038257) is an individual counselor in Champaign, Illinois, licensed in Illinois (178-016699) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467038257

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameALEXA NUTT

Location Address309 W CLARK STChampaign, IL 61820-4637

Mailing Address309 W Clark StChampaign, IL 61820-4637 · (217) 398-9066 · Fax (217) 389-9077

Phone(217) 398-9066

Fax(217) 398-9077

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 22, 2021

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2021

✔ NPI 1467038257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 178-016699

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.

309 W CLARK ST, Champaign, IL 61820

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexa Nutt 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 ID3072034909

PECOS Enrollment IDI20250307003365

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.

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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.

RACHEL COOPER YUHAS LCPC

Counselor (Professional)