Healthcare Provider Details

I. General information

NPI: 1124940341
Provider Name (Legal Business Name): ALEXIS KUGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 WHITE PLAINS RD STE 500
TARRYTOWN NY
10591-5118
US

IV. Provider business mailing address

8 FRANKLIN DR
STONY POINT NY
10980-1508
US

V. Phone/Fax

Practice location:
  • Phone: 914-600-3408
  • Fax:
Mailing address:
  • Phone: 845-608-2743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP132136
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: