Alyssa Biddle, LSW
Individual provider Active NPI Mental Health Counselor · Mansfield, OH
NPI 1154715522 · NPPES record last updated Mar 24, 2015
Key facts
- NPI
- 1154715522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- S.1201417 (OH)
- Practice address
- 151 Marion Avenue
Mansfield, OH 44903-2223 - Phone
- (419) 774-9969
- Fax
- (419) 756-5642
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1201417 | OH | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S.1201417 | OH | Yes |
Addresses
Primary practice location
151 Marion Avenue
Mansfield, OH 44903-2223
Mailing address
151 Marion Avenue
Mansfield, OH 44903-2223
Phone (419) 774-9969
Other providers in Mansfield, OH
- Diane Betit
- Tessa Bianchi
- Ana Maria Bica
- Jennifer Bice
- Laurie Biddinger
- Bethany A Biddle
- Jill Lynn Biddle
- Cassandra L Biedrzycki
- Ashley M. Bierman
- Rebecca Bigley
All providers in Mansfield, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.