Individual provider Active NPI

Alyssa Kay Boardman, LMHC

  • Mental Health Counselor
  • Westerly, RI
National Provider Identifier
1124590591
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01002 Issued in RI
Practice address
43 Broad St Ste B
Westerly, RI 02891-1977
Phone
(401) 596-2302
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC01002 RI Primary

Addresses

Primary practice location

43 Broad St Ste B
Westerly, RI 02891-1977

Mailing address

40 Riverdale Rd
Westerly, RI 02891-2824
Phone (617) 595-6651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251016003370 CT Practitioner - Mental Health Counselor 0345737854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Counseling LLCGroup PAC ID 3678961075, 8 clinicians

Practice addresses (Care Compare)

97 Main St
Manchester, CT 06042-3141
Phone (860) 470-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC01002RIMDMental Health Counselor
008330CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Counseling, LLC CurrentSince Sep 15, 2025 Accepting new patients
New England Center for Anxiety LLC Past Accepting new patients

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": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1124590591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RIVERDALE RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912824",
            "telephone_number": "617-595-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROAD ST STE B",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911977",
            "telephone_number": "401-596-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDMAN",
        "first_name": "ALYSSA",
        "middle_name": "KAY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.