Allyssa Clemments, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469

Phone

(480) 877-9284

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

Yes

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

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.

• Evolvedmd, Inc.

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
  • NPI 1821613704
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1013601905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 E INDIAN SCHOOL RD STE 1005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515469",
            "telephone_number": "480-877-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 E INDIAN SCHOOL RD STE 1005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515469",
            "telephone_number": "480-877-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMENTS",
        "first_name": "ALLYSSA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearwater Healthcare LLC
• Clearwater Healthcare LLC
• Kathryn M Cleland, PA
• Richard Clement, M.D.
• Zeke Bartholomew Clemmens, DO
• Marin Clemson, RD
• Chianne Cleveland
• Lisa Marie Cleveland, OTD
• Clever Health, Inc
• Clifint LLC

• Mental Health Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.