Alyssa Klugh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10643 Issued in CO

Practice address

107 S 9TH St
Canon City, CO 81212-3800

Phone

(719) 221-0959

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sacred Self Counseling LLCGroup PAC ID 6901242775, 5 clinicians

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sacred Self Counseling, LLC

  • Mental Health Counselor
  • Canon City, CO
  • NPI 1710614102

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional

  Medicare reassignment Care Compare group NPD
• Sacred Self Counseling, LLC

  • Mental Health Counselor
  • Buena Vista, CO
  • NPI 1043152572
  NPD (past)
• Sacred Self Counseling, LLC

  • Mental Health Counselor
  • Buena Vista, CO
  • NPI 1891638409
  NPD (past)
• Sacred Self Counseling, LLC

  • Mental Health Counselor
  • Salida, CO
  • NPI 1942140496
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1255618344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 BARR AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122131",
            "telephone_number": "719-221-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 9TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123800",
            "telephone_number": "719-221-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGH",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "10643",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Kingston, MA
• Gary Edward Kirk, DPH
• Morgan Johonn Kizzar, DPM
• Terilynn Klein
• William Albert Klenke, NURSE PRACTITIONER
• Tabbetha Kate Koester
• Rajani Kollikara, AAS, RN, PMHNP
• Kathryn Konicek, LCSW
• Kathleen R Kopacz, NP
• Janet Louise Krein, PA-C

• Mental Health Counselor in Canon City, CO
• Providers in Canon City, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.