Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Bascom

Individual provider Professional Counselor · NPI 1821707332

Alexander Bascom is a Mental Health Counselor in Saint Paul, Minnesota. Qualified in 2019, 7 years ago. Practices with Amherst H. Wilder Foundation, a 21-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2022
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Practice location Address checks out

451 Lexington Pkwy N
Saint Paul, MN 55104-4636
Phone: (651) 280-2310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC03524 (MN)

Record details

NPI number1821707332
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2022
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022
Mailing address451 Lexington Pkwy N, Saint Paul, MN 55104-4636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Amherst H. Wilder Foundation — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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