Active NPI
Alyssa Black
- Counselor
- Visalia, CA
National Provider Identifier
1104122076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1830 S Central St
Visalia, CA 93277 - Phone
- (559) 730-2969
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1830 S Central St
Visalia, CA 93277
Mailing address
PO Box 5091
Visalia, CA 93278-5091
Phone (559) 747-3984
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulare County Office of Education | Past | Accepting new patients | |
| Tulare County Office of Education | Past | Accepting new patients | |
| Tulare County Office of Education | Past | 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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Visalia, CA
- NPI 1023366085
-
- Local Education Agency (LEA)
- Farmersville, CA
- NPI 1336577840
-
- Local Education Agency (LEA)
- Visalia, CA
- NPI 1457612004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1104122076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5091",
"city": "VISALIA",
"state": "CA",
"postal_code": "932785091",
"telephone_number": "559-747-3984",
"fax_number": "559-747-3642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S CENTRAL ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-730-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "ALYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.