ALEXANDRA LEE KOENIG (PHD) – Clinical Psychologist, NPI 1124531926
Clinical Psychologist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for ALEXANDRA LEE KOENIG (PHD)
PO BOX 1188
CORVALLIS, OR 973391188
Phone:
Type: Mailing
1700 Geary St SE Ste 200
Albany, OR 973226842
Phone: (541) 812-5570
Type: Location
200, Geary Street Southeast, Albany, Linn County, Oregon, 97321, United States
ALBANY, OR 973226842
Phone: (541) 812-5570
Type: Location
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE, NM 871251188
Phone: (505) 923-6770
Type: Mailing
8300 CONSTITUTION AVE NE BLDG D
ALBUQUERQUE, NM 871107613
Phone: (505) 291-2402
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240515000063 | I | Clinical Psychologist | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97339)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| Cardiovascular Disease (Cardiology) | NM | |
| Emergency Medicine | NM | |
| Internal Medicine | NM | |
| N E U R O S U R G E R Y | FL | |
| - | NM |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.