ALEXANDRA TULLOCH LCMHC
NPI 1467987735
Counselor - Mental Health in Charlotte, NC

Active since April 25, 2017PECOS EnrolledAccepts Medicare Assignment
4412 PARK RD, CHARLOTTE, NC 28209(980) 217-6901 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Feb 3, 2026, Apr 25, 2017 (3 updates tracked since 2017).

About Alexandra Tulloch Lcmhc NPPES

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

ALEXANDRA TULLOCH LCMHC (NPI 1467987735) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (12926) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467987735
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALEXANDRA TULLOCHCredential: LCMHC
Location Address4412 PARK RDCharlotte, NC 28209-3130
Mailing Address4224 Autumn Frost TrlCharlotte, NC 28262-7085 · (704) 326-6222
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 25, 2017
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1467987735 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 · 12926
4412 PARK RD, Charlotte, NC 28209

Accepted Insurance

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 Tulloch Lcmhc 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 ID8921458811
PECOS Enrollment IDI20231218004241
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

2

Medicare enrollment records show Alexandra Tulloch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Oncology
4525 CAMERON VALLEY PKWY, STE 3500
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
Mental Health
8406 SIX FORKS RD STE 104
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 188 clinicians in this Medicare group

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 8

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

Social Worker (Clinical)
4412 PARK RD
CHARLOTTE, NC 28209
Social Worker (Clinical)
4412 PARK RD
CHARLOTTE, NC 28209
Social Worker (Clinical)
4412 PARK RD
CHARLOTTE, NC 28209
Social Worker (Clinical)
4412 PARK RD
CHARLOTTE, NC 28209
Nurse Practitioner (Psychiatric/Mental Health)
4412 PARK RD
CHARLOTTE, NC 28209
Counselor (Mental Health)
4412 PARK RD
CHARLOTTE, NC 28209
Counselor
4412 PARK RD
CHARLOTTE, NC 28209
Social Worker (Clinical)
4412 PARK RD
CHARLOTTE, NC 28209

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 Tulloch's NPI number?

The NPI number for Alexandra Tulloch is 1467987735. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Alexandra Tulloch located?

Alexandra Tulloch practices at 4412 Park Rd, Charlotte, NC 28209. The listed phone number is (980) 217-6901.

What is Alexandra Tulloch's specialty?

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

Is Alexandra Tulloch enrolled in Medicare?

Yes. Alexandra Tulloch 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 Tulloch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Tulloch reassigns Medicare benefits to 2 organizations: The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Thriveworks Clinical - North Carolina PC (Raleigh, NC). 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 Tulloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Tulloch accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, CareSource, Cigna Healthcare and InStil Health and 2 other insurers list Alexandra Tulloch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Tulloch was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.