Individual provider Active NPI

Alyssa Anderson, LPC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1184136095
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10018758 Issued in CO
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

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0273324MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409001130 CO Practitioner - Mental Health Counselor 2567800600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1700798OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond the Mirror, LLC CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.