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

MS. Alix Walczuk, MS

Individual provider Mental Health Counselor · NPI 1669994463

MS. Alix Walczuk, MS is a Mental Health Counselor in Deer Park, New York. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

329 W 20th St
Deer Park, NY 11729-6317
Phone: (516) 398-4122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 012671 (NY)

Record details

NPI number1669994463
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJuly 13, 2017
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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