Alyssa Rieckelman, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

21690 Issued in FL

Practice address

2345 Stanford CT Ste 602
Naples, FL 34112-4841

Phone

(398) 802-0742

NPI assigned

Apr 14, 2016

Reactivated

Jul 10, 2018

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Alyssa Emens Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1255785473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LAGOON AVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082316",
            "telephone_number": "239-595-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 STANFORD CT STE 602",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124841",
            "telephone_number": "398-802-0742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Brownwood",
            "state": "TX",
            "postal_code": "768011639",
            "country_code": "US",
            "telephone_number": "325-646-9574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIECKELMAN",
        "first_name": "ALYSSA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "deactivation_date": "2018-06-06",
        "reactivation_date": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "21690",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brownwood",
            "affiliation": "N",
            "address_1": "408 Mulberry St",
            "city": "Brownwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "768011639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "EMENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Naples, FL
• Providers in Naples, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.