MS. ALEXANDRIA WIDENER LCMHCA
NPI 1558098004
Counselor - Professional in Charlotte, NC

Q: What is Alexandria Widener's NPI number?

The NPI number for Alexandria Widener is 1558098004. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Q: What is Alexandria Widener's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since August 04, 2022PECOS Enrolled

769 N WENDOVER RD, CHARLOTTE, NC 28211(704) 376-7180(704) 531-9266 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Alexandria Widener Lcmhca NPPES

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

MS. ALEXANDRIA WIDENER LCMHCA (NPI 1558098004) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (A17915) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558098004

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. ALEXANDRIA WIDENERCredential: LCMHCA

Location Address769 N WENDOVER RDCharlotte, NC 28211-1118

Mailing Address722 E Union StMarshville, NC 28103-1246 · (276) 206-4132 · Fax (704) 531-9266

Phone(704) 376-7180

Fax(704) 531-9266

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 4, 2022

NPPES CertifiedAugust 4, 2022

✔ NPI 1558098004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · A17915

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A17915 (NC)

769 N WENDOVER RD, Charlotte, NC 28211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alexandria Widener Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092207241

PECOS Enrollment IDI20251125000880

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.

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.

BROOKE ANDERSON CARR LPCA, NCC

Counselor (Professional)