Alyssa Krysiak, LPCA, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A14985 Issued in NC

Practice address

185 Wooster Rd
Southern Pines, NC 28387-2354

Phone

(910) 585-9074

NPI assigned

Jul 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harley Grace LLC

  • Professional Counselor
  • Southern Pines, NC
  • NPI 1598216970
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1013560937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GRAMPIAN WAY",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877201",
            "telephone_number": "585-943-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WOOSTER RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872354",
            "telephone_number": "910-585-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSIAK",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "LPCA, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott M. Klenzak, M.D.
• Scott Daniel Kneller, P.T.
• Bianca Kenneshia Knight
• Tamara Korpak
• Kim U Kremer, PHARM.D.
• Richard Martin Kuhns III, D.C.
• Lane and Associates XXX, DDS PA
• Kelly Lavallee
• Gail Lynne Lavoie
• Ganiat A Lawal, DDS

• Professional Counselor in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.