Individual provider Active NPI

Alissa Joi Deel, LPC

  • Professional Counselor
  • Cedar Bluff, VA
National Provider Identifier
1003391871
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007780 Issued in VA
Practice address
113 Cumberland Road
Cedar Bluff, VA 24609-0810
Phone
(276) 964-6702
Fax
(276) 964-0292
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007780 VA Primary

Addresses

Primary practice location

113 Cumberland Road
Cedar Bluff, VA 24609-0810

Mailing address

PO Box 810
Cedar Bluff, VA 24609-0810
Phone (276) 964-6702

Other names 1

  • Alissa Joi Fiddle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131002548 VA Practitioner - Mental Health Counselor 3476082686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Mountain Community Services 12 clinicians

Practice addresses (Care Compare)

PO Box
Suite 486
Lebanon, VA 24266-0486
Phone (276) 889-3785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007780VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Mountain Community Services CurrentSince Nov 22, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bf94e4d0-3a14-41fb-bd44-4abbe957f297/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1003391871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090810",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CUMBERLAND ROAD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090810",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEL",
        "first_name": "ALISSA",
        "middle_name": "JOI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "FIDDLE",
            "middle_name": "JOI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Bluff, VA

Sources for this page

Verify at the official NPI Registry.