MEDICARE: ALEXANDRA COMPETIELLO LCAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	003229	NY

General Provider Information

NPI Number	:	1063370070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA COMPETIELLO LCAT

Provider Business Mailing Address
First Line	:	15 FORTUNE RD W
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10941-1625
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 SALEM RD
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-1133
Country	:	US
Telephone Number	:	914-755-7875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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