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

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: November 01, 2026.

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Alexandria Widener reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric And Family Behavioral Health Acquisition Group PLLC
7.7 mi
Psychiatry
10420 PARK RD STE 300
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1770056038 (980) 237-4766

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.

BROOKE ANDERSON CARR LPCA, NCC
Counselor (Professional)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 376-7180
DR. REBECCA GRIFFIN SMITH PHD
Psychologist
769 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 376-7180
THOMPSON CHILD AND FAMILY FOCUS
Community/Behavioral Health
769 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 376-7180
ELLERY KENT FRANKLIN LCSW
Social Worker (Clinical)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 376-7180
HANNAH MARIE GRADY LCSW-A
Social Worker (Clinical)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 376-7180
AMY LYNN HOOPER M.ED, NCC, LCMHC
Counselor (Professional)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 376-7180
MRS. NANCY CSEHOSKI LPC
Counselor (Professional)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 376-7180
DR. MELISSA ANN PERRY MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 376-7180

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 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.

Where is Alexandria Widener located?

Alexandria Widener practices at 769 N Wendover Rd, Charlotte, NC 28211. The listed phone number is (704) 376-7180.

What is Alexandria Widener's specialty?

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

Is Alexandria Widener enrolled in Medicare?

Yes. Alexandria Widener is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandria Widener's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandria Widener reassigns Medicare benefits to Pediatric And Family Behavioral Health Acquisition Group PLLC (Charlotte, NC). The 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 Alexandria Widener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandria Widener accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Alexandria Widener 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 Alexandria Widener was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.