Alyssa Clark, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

12186

Practice address

245 N Metro Dr
Appleton, WI 54913-8572

Phone

(920) 903-1009

NPI assigned

May 6, 2021

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

Other identifiers 1

Other names 1

• Alyssa Thorp Former name

Electronic endpoints 1

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.

• Expressive Therapies LLC

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1225439326

  Music Therapist

  NPD
• Seed Inc

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1306489372
  NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1104400175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N METRO DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N METRO DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138572",
            "telephone_number": "920-903-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALYSSA",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "12186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBMT",
            "identifier": "12186",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alyssa.clark@expressivetherapies.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "245 N Metro Dr",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549138572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "THORP",
            "credential": "MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank M Chybowski, MD
• Nathan Paul Cichocki, RPH
• Circle of Care Cooperative
• City of Appleton Health Department
• CJB Ventures, Inc.
• Elizabeth F Clark, MSC, PA-C
• Kristine J. Clark, O.T.C.
• S. William Clark, D.D.S.
• Kathleen Anne Clarke
• Kendra Clayton

• Music Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Music Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.