Active NPI
Alyssa Grant
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1104563915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5072 S 135TH St
Omaha, NE 68137-1639 - Phone
- (402) 616-9876
- Fax
- (712) 355-5120
- NPI assigned
- May 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5072 S 135TH St
Omaha, NE 68137-1639
Mailing address
2412 S 11TH St
Council Bluffs, IA 51501-7407
Phone (402) 616-9876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114467040 | Other | CRYSTAL SHARP COUNSELING, ::C |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crystal@crystalsharpcounseling.com |
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 |
|---|---|---|---|
| Crystal Sharp Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Red Oak, IA
- NPI 1114467040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1104563915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 S 11TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515017407",
"telephone_number": "402-616-9876",
"fax_number": "712-355-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5072 S 135TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371639",
"telephone_number": "402-616-9876",
"fax_number": "712-355-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRYSTAL SHARP COUNSELING, ::C",
"identifier": "1114467040",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crystal@crystalsharpcounseling.com",
"affiliation": "N",
"address_1": "5072 S 135th St",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "681371639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.