Healthcare Provider Details

I. General information

NPI: 1467304287
Provider Name (Legal Business Name): ALEXIA JO SPIEGEL MC70024491
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20337 125TH AVE NE
BOTHELL WA
98011-7601
US

IV. Provider business mailing address

339 CHARLOTTESVILLE DR
SAINT CHARLES MO
63304-1038
US

V. Phone/Fax

Practice location:
  • Phone: 253-254-6575
  • Fax:
Mailing address:
  • Phone: 253-254-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC70024491
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: