MS. ALIX WALCZUK MS
NPI 1669994463
Counselor - Mental Health in Deer Park, NY

Q: What is Alix Walczuk's NPI number?

The NPI number for Alix Walczuk is 1669994463. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Q: What is Alix Walczuk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alix Walczuk was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 13, 2017PECOS Enrolled

329 W 20TH ST, DEER PARK, NY 11729(516) 398-4122 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Alix Walczuk Ms NPPES

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

MS. ALIX WALCZUK MS (NPI 1669994463) is an individual mental health provider in Deer Park, New York, licensed in New York (012671) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669994463

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. ALIX WALCZUKCredential: MS

Location Address329 W 20TH STDeer Park, NY 11729-6317

Mailing Address329 W 20th StDeer Park, NY 11729-6317 · (516) 398-4122

Phone(516) 398-4122

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 13, 2017

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedOctober 24, 2025

✔ NPI 1669994463 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 NY · 012671

329 W 20TH ST, Deer Park, NY 11729

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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 (PECOS)

Ms. Alix Walczuk Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375013352

PECOS Enrollment IDI20260601000586

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.

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 Alix Walczuk's NPI number?

The NPI number for Alix Walczuk is 1669994463. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Alix Walczuk located?

Alix Walczuk practices at 329 W 20th St, Deer Park, NY 11729. The listed phone number is (516) 398-4122.

What is Alix Walczuk's specialty?

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

Is Alix Walczuk enrolled in Medicare?

Yes. Alix Walczuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alix Walczuk was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.