Active NPI
Alyssa Anderson, LPC
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1184136095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10018758
- Practice address
- 110 W Harvard St Ste a
Fort Collins, CO 80525-5218 - Phone
- (970) 402-8543
- Fax
- (970) 341-2032
- NPI assigned
- Nov 1, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10018758 | CO | Primary |
| Professional Counselor | 101YP2500X | 1700798 | OH |
Addresses
Primary practice location
110 W Harvard St Ste a
Fort Collins, CO 80525-5218
Mailing address
110 W Harvard St Ste a
Fort Collins, CO 80525-5218
Phone (970) 413-2264
Other practice location 1
1351 S Reynolds Rd Ste B
Toledo, OH 43615-7411
Phone (719) 271-2369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0273324 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1700798 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond the Mirror, LLC | Current | Accepting new patients |
Locations
110 W Harvard St
Ste A
Fort Collins, CO 80525
Phone (970) 402-8543
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.
-
- Community/Behavioral Health Agency
- Fort Collins, CO
- NPI 1265661169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1184136095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W HARVARD ST STE A",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255218",
"telephone_number": "970-413-2264",
"fax_number": "970-341-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W HARVARD ST STE A",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255218",
"telephone_number": "970-402-8543",
"fax_number": "970-341-2032"
}
],
"practiceLocations": [
{
"address_1": "1351 S Reynolds Rd Ste B",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436157411",
"country_code": "US",
"telephone_number": "719-271-2369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "ALYSSA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-01",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "10018758",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "1700798",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0273324",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.