Individual ProviderAlexandra MadsenCounselorBehavioral Health & Social Service ProvidersPractice Address11308 Davenport St, Omaha, NE 68154-2630(402) 960-7468PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Madsen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1144979543Provider TypeIndividualFull NameMadsen, AlexandraCredentialLMHPGenderFemaleSole ProprietorYesEnumeration Date3/22/2022Last Updated8/17/2023Contact InformationPractice LocationPractice Address11308 Davenport St, Omaha, NE 68154-2630Phone(402) 960-7468FaxUnlisted FaxMailing LocationMailing Address11308 Davenport St, Omaha, NE 68154-2630Phone(402) 960-7468FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense5804Nebraska