Individual provider Active NPI

Alyssa Iannamorelli-Eddy, LPC

  • Professional Counselor
  • Uniontown, PA
National Provider Identifier
1245773365
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009303 Issued in PA
Practice address
315 Morgantown St Ste 7000
Uniontown, PA 15401-4878
Phone
(724) 550-4160
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009303 PA Primary

Addresses

Primary practice location

315 Morgantown St Ste 7000
Uniontown, PA 15401-4878

Mailing address

421 Jenny Lane
Uniontown, PA 15401
Phone (724) 880-6598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240916003739 PA Practitioner - Mental Health Counselor 6800337080 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC009303PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Couples & Family Therapy, LLC CurrentSince Aug 30, 2024 Accepting new patients

Locations

315 Morgantown St
Ste 7000
Uniontown, PA 15401
Phone (724) 439-4800

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1245773365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 JENNY LANE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-880-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MORGANTOWN ST STE 7000",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014878",
            "telephone_number": "724-550-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNAMORELLI-EDDY",
        "first_name": "ALYSSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.