MR. WIDNER ALEXANDRE LADC I
NPI 1962278960
Counselor - Addiction (Substance Use Disorder) in Boston, MA

Active since November 30, 2023PECOS Enrolled
263 EUSTIS ST, BOSTON, MA 02119(617) 445-1123 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Widner Alexandre Ladc I NPPES

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

MR. WIDNER ALEXANDRE LADC I (NPI 1962278960) is an individual addiction (substance use disorder) provider in Boston, Massachusetts, licensed in Massachusetts (23160) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962278960
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. WIDNER ALEXANDRECredential: LADC I
Location Address263 EUSTIS STBoston, MA 02119-2826
Mailing Address133 Addison StBrockton, MA 02301-1403 · (857) 236-8190
Sole ProprietorNo
Enumeration DateNovember 30, 2023
NPPES CertifiedOctober 18, 2023
NPI 1962278960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MA · 23160
263 EUSTIS ST, Boston, MA 02119

Accepted 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)

Mr. Widner Alexandre Ladc I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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

Student in an Organized Health Care Education/Training Program
263 EUSTIS ST
ROXBURY, MA 02119
Social Worker
263 EUSTIS ST
ROXBURY, MA 02119
Clinic/Center (Adult Mental Health)
263 EUSTIS ST
ROXBURY, MA 02119

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 Widner Alexandre's NPI number?

The NPI number for Widner Alexandre is 1962278960. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Widner Alexandre located?

Widner Alexandre practices at 263 Eustis St, Boston, MA 02119. The listed phone number is (617) 445-1123.

What is Widner Alexandre's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Widner Alexandre enrolled in Medicare?

Yes. Widner Alexandre is registered in the Medicare PECOS enrollment system.

What insurance does Widner Alexandre accept?

Health plans from Anthem Blue Cross and Blue Shield, Providence Health Plan and WellSense Health Plan list Widner Alexandre 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 Widner Alexandre was last updated on November 30, 2023. 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.