Individual provider Active NPI

Alyssa Maida Vernacchio, MA, LPC

  • Professional Counselor
  • Warrington, PA
National Provider Identifier
1144940859
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014784 Issued in PA
Practice address
865 Easton Rd Ste 180
Warrington, PA 18976-1879
Phone
(215) 999-4724
Fax
(267) 762-4368
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC014784 PA
Professional Counselor 101YP2500X PC014784 PA Primary

Addresses

Primary practice location

865 Easton Rd Ste 180
Warrington, PA 18976-1879

Mailing address

357 E Hector St
Conshohocken, PA 19428-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Mental Health Counseling Professional CurrentSince Mar 24, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1144940859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 E HECTOR ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 EASTON RD STE 180",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761879",
            "telephone_number": "215-999-4724",
            "fax_number": "267-762-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNACCHIO",
        "first_name": "ALYSSA",
        "middle_name": "MAIDA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014784",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

Verify at the official NPI Registry.