Individual provider Active NPI

Alyssa Beth Gursky, MA, LPC ASSOCIATE

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1194426130
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2580 SE Ankeny St Apt 206
Portland, OR 97214-2297
Phone
(516) 761-4240
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 Primary

Addresses

Primary practice location

2580 SE Ankeny St Apt 206
Portland, OR 97214-2297

Mailing address

2580 SE Ankeny St Apt 206
Portland, OR 97214-2297
Phone (516) 761-4240

Other practice location 1

5200 S MacAdam Ave # Suits460
Portland, OR 97239-6103
Phone (503) 451-3337

Other practice location 2

1035 SE Taylor Street
Portland, OR 97214
Phone (516) 761-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1194426130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 SE ANKENY ST APT 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142297",
            "telephone_number": "516-761-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 SE ANKENY ST APT 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142297",
            "telephone_number": "516-761-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 S MacAdam Ave # Suits460",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972396103",
            "country_code": "US",
            "telephone_number": "503-451-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 SE Taylor Street",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97214",
            "country_code": "US",
            "telephone_number": "516-761-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURSKY",
        "first_name": "ALYSSA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "MA, LPC ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.