Individual provider Active NPI

Alisha Allen, LPC

  • Counselor
  • Alpena, MI
National Provider Identifier
1053969261
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017602 Issued in MI
Practice address
Peaceful Mind Therapeutics, PLLC
150 S Ripley Blvd
Alpena, MI 49707
Phone
(989) 465-7400
Fax
(989) 465-7465
NPI assigned
Aug 30, 2019
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017602 MI Primary

Addresses

Primary practice location

Peaceful Mind Therapeutics, PLLC
150 S Ripley Blvd
Alpena, MI 49707

Mailing address

150 S Ripley Blvd
Alpena, MI 49707-3406
Phone (989) 465-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401017602MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Counseling Services of Northeast Michigan, Inc PastSince Sep 1, 2019 Accepting new patients
Charis Counseling Services of Northeast Michigan, PLLC Counselor PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1053969261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S RIPLEY BLVD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073406",
            "telephone_number": "989-465-7400",
            "fax_number": "989-465-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEACEFUL MIND THERAPEUTICS, PLLC",
            "address_2": "150 S RIPLEY BLVD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "49707",
            "telephone_number": "989-465-7400",
            "fax_number": "989-465-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ALISHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.