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

MS. Alexandria Widener, LCMHCA

Individual provider Professional Counselor · NPI 1558098004

MS. Alexandria Widener, LCMHCA is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

769 N Wendover Rd
Charlotte, NC 28211-1118
Phone: (704) 376-7180
Fax: (704) 531-9266
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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 A17915 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A17915 (NC)

Record details

NPI number1558098004
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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