Alyssa Michelle Kirkman, MS, EDS, LMHCA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MC60868635 Issued in WA

Practice address

602 Valley St
Seattle, WA 98109-4228

Phone

(501) 779-8321

NPI assigned

Oct 4, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Alyssa Michelle Mock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kirkman Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1497373278
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1003381161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 MINOR AVE APT 1506",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981010924",
            "telephone_number": "501-779-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 VALLEY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094228",
            "telephone_number": "501-779-8321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24909 104th Ave SE Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980302819",
            "country_code": "US",
            "telephone_number": "501-779-8321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKMAN",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, EDS, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60868635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON SECRETARY OF STATE",
            "identifier": "604335707",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "MC6086835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MOCK",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith Lynne Kirkeby, PH.D.
• Danielle Kirkey
• Derek Kirkham, L.AC.
• Claudia L. Kirkland, LICSW, CMHS
• Kirkman Counseling, LLC
• Krista Jean Kirkman, RN
• Lea Rene Kirkman, MSN, RN, CCRN
• Jill D. Kirkpatrick, OT
• John N Kirkpatrick, MD
• Linzy Kirkpatrick, MD

• Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.