Individual provider Active NPI

Alyssa Marie Scivoletti

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1114631173
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
11486 Ramondi PL
Cincinnati, OH 45240-2047
Phone
(516) 306-6364
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 Primary

Addresses

Primary practice location

11486 Ramondi PL
Cincinnati, OH 45240-2047

Mailing address

11486 Ramondi PL
Cincinnati, OH 45240-2047
Phone (516) 306-6364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260210003585 CT Practitioner - Marriage and Family Therapist 1850870718 Reassigns benefits to 1 organization
I20260428002438 OH Practitioner - Marriage and Family Therapist 1850870718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leap-Lifelong Empowerment ABA and Psychotherapy LLCGroup PAC ID 3577093012, 10 clinicians

Practice addresses (Care Compare)

10 Stanford Dr
Farmington, CT 06032-2451
Phone (860) 383-7090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River Wylde Counseling and Consulting Current Accepting new patients
Leap-Lifelong Empowerment ABA & Psychotherapy LLC CurrentSince Jan 30, 2026 Accepting new patients

Locations

2 Forest Park Dr
Ste 22LM
Farmington, CT 06032
Phone (860) 351-3075

2 Forest Park Dr
Ste 22L
Farmington, CT 06032
Phone (860) 383-7090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1114631173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11486 RAMONDI PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402047",
            "telephone_number": "516-306-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11486 RAMONDI PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402047",
            "telephone_number": "516-306-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIVOLETTI",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.