ALEXANDRA MEDINA LCSW
NPI 1568120368
Counselor - Mental Health in Colorado Springs, CO

Active since November 30, 2021PECOS EnrolledAccepts Medicare Assignment
411 LAKEWOOD CIR STE A104, COLORADO SPRINGS, CO 80910(719) 302-3175 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 2, 2024, Nov 30, 2021 (2 updates tracked since 2021).

About Alexandra Medina Lcsw NPPES

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

ALEXANDRA MEDINA LCSW (NPI 1568120368) is an individual mental health provider in Colorado Springs, Colorado and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568120368
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALEXANDRA MEDINACredential: LCSW
Location Address411 LAKEWOOD CIR STE A104Colorado Springs, CO 80910-2667
Mailing Address1422 Kern StColorado Springs, CO 80915-2112
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 30, 2021
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1568120368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
411 LAKEWOOD CIR STE A104, Colorado Springs, CO 80910

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 Medina Lcsw 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 ID4587190780
PECOS Enrollment IDI20241211002946
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 Alexandra Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
3205 N ACADEMY BLVD, SUITE 130
Colorado Springs, CO 80917
  • Reassigned Medicare billing, Colorado enrollment
  • 355 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 4

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

Physical Therapist
411 LAKEWOOD CIR STE A104
COLORADO SPRINGS, CO 80910
Counselor (Mental Health)
411 LAKEWOOD CIR STE A104
COLORADO SPRINGS, CO 80910
Counselor (Mental Health)
411 LAKEWOOD CIR STE A104
COLORADO SPRINGS, CO 80910
Occupational Therapist
411 LAKEWOOD CIR STE A104
COLORADO SPRINGS, CO 80910

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 Medina's NPI number?

The NPI number for Alexandra Medina is 1568120368. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Alexandra Medina located?

Alexandra Medina practices at 411 Lakewood Cir Ste A104, Colorado Springs, CO 80910. The listed phone number is (719) 302-3175.

What is Alexandra Medina's specialty?

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

Is Alexandra Medina enrolled in Medicare?

Yes. Alexandra Medina 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 organization bills Medicare for Alexandra Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Medina reassigns Medicare benefits to Peak Vista Community Health Centers (Colorado Springs, CO). 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 Alexandra Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Medina accept?

Health plans from Select Health list Alexandra Medina 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 Medina was last updated on July 2, 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.