ALYSSA ADDISON (NPI# 1194126805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194126805 |
| Entity Type | Individual |
| Full Name | ALYSSA ADDISON |
| Credential | LPCA |
| Practice Address |
3701 Landsdowne Dr Ashland KY 41102-5422 |
| Mailing Address |
Po Box 790 Ashland KY 41105-0790 |
| Practice Telephone | 6063243005 |
| Practice Fax Number | 6063291530 |
| Mailing Telephone | 6063298588 |
| Mailing Fax Number | 6063298195 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LPCCCA00195001 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30610026 | 05 |
| Street Address |
3701 LANDSDOWNE DR |
| City | ASHLAND |
| State | KY |
| Zip Code | 41102-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487614004 | Anne M Zappacosta | Psychiatry & Neurology | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2006-03-27 |
| 1629680129 | Shauna Rhyann Jarrell | Community Health Worker | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2020-08-18 |
| 1962038091 | Jonathan Perkins | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2020-03-20 |
| 1396371472 | Rachel Jude | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2020-03-20 |
| 1003446279 | Ashley Hamm | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2020-01-16 |
| 1689226995 | Ashlee Tayler Rowe | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2019-07-16 |
| 1750940631 | Betty Humphreys | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102 | 2019-06-13 |
| 1740848621 | Chinaemerem Ogu | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2019-06-05 |
| 1306308044 | Harley Davis | Registered Nurse | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2019-04-02 |
| 1083176713 | Benny Bailey | Registered Nurse | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145807 | Logan Kevin Payton | Speech-Language Pathologist | 2801 Adams Avenue, Ashland, KY 41102 | 2020-08-17 |
| 1902424203 | Charles Russell Stewart | Technician | 2613 Piqua St., Ashland, KY 41102 | 2020-07-13 |
| 1235660069 | Brittni Parsons | Social Worker | 6417 State Route 60, Ashland, KY 41102 | 2017-03-23 |
| 1013450212 | A Center 4 Change | Counselor | 5900 Us Highway 60 West, Suite B, Ashland, KY 41102 | 2016-11-21 |
| 1437600814 | Ashland Hospital Corporation | Physician Assistant | 3215 South 29th St, Ashland, KY 41102 | 2016-10-20 |
| 1174074553 | Ashland Hospital Corporation | Physician Assistant | 1100 Bob Mccullough Dr, Ashland, KY 41102 | 2016-10-20 |
| 1598120495 | David Zachary Porter | Counselor | 3728 Peachtree Rd, Ashland, KY 41102 | 2015-12-18 |
| 1326465147 | Erik Mullins | Physical Therapy Assistant | 2800 Pleasant Avenue, Ashland, KY 41102 | 2014-03-19 |
| 1508095639 | Kentucky Medical Logistics Inc | Ambulance | 425 22nd Street, Ashland, KY 41102 | 2009-07-10 |
| 1184872608 | Carolyn Jayne Estepp | Nurse Practitioner | 12470 Us 60, Ashland, KY 41102 | 2008-09-09 |
| Find all providers in zip 41102 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680844 | Bighorn Valley Health Center Incorporated | Psychologist | 1000 E. River Road, Ashland, MT 59003 | 2016-02-24 |
| 1992008064 | Rebecca Breiholz | Psychologist | 208 Oak St Ste 104, Ashland, OR 97520-1870 | 2010-12-13 |
| 1629273586 | Sarah Collard, Ph.d., LLC | Psychologist | 149 Clear Creek Dr, Suite 104, Ashland, OR 97520-1881 | 2007-06-19 |
| 1285840447 | Thomas Brent Shields | Psychologist | 208 Oak St Ste 102, Ashland, OR 97520-1870 | 2007-05-15 |
| 1306067095 | Judith M. Kellmer | Psychologist | 166 Arrowhead Circle, Ashland, MA 01721 | 2007-05-01 |
| 1134344179 | John Adam Hugo II | Psychologist | 11208 Gwathmey Church Rd, Ashland, VA 23005-7621 | 2007-04-16 |
| 1093939944 | Douglas A Col | Psychologist | 542 Washington St, Ste 200, Ashland, OR 97520 | 2007-04-12 |
| 1922120674 | Paul Murray | Psychologist | 542 Washington St Ste 103, Ashland, OR 97520-1796 | 2007-04-04 |
| 1578682365 | Virginia L Whitener | Psychologist | 517 E Main St, Ashland, OR 97520-2113 | 2007-03-29 |
| 1679698294 | Kay Lynne Sherman | Psychologist | 322 Bridge St, Ashland, OR 97520-3906 | 2007-03-20 |
| Find all providers in ASHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.