Individual provider Active NPI

Alyssa Derosa, LPC

  • Professional Counselor
  • Cherry Hill, NJ
National Provider Identifier
1295290732
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00907400 Issued in NJ
Practice address
457 Haddonfield Rd Ste 230
Cherry Hill, NJ 08002-2201
Phone
(732) 982-2888
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 37PC00907400 NJ Primary

Addresses

Primary practice location

457 Haddonfield Rd Ste 230
Cherry Hill, NJ 08002-2201

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (732) 982-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250811002365 NJ Practitioner - Mental Health Counselor 6608374459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Behavioral Health PCGroup PAC ID 4284001025, 127 clinicians
Insite Medical NJ PAGroup PAC ID 8022487743, 8 clinicians

Practice addresses (Care Compare)

457 Haddonfield Rd
Suite 230
Cherry Hill, NJ 08002-2201
Phone (732) 982-2888

525 Route 73 N
Suite 302
Marlton, NJ 08053-3422
Phone (833) 494-6724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insite Medical NJ PA Professional CurrentSince May 18, 2025 Accepting new patients
Insite Medical NJ PA CurrentSince May 18, 2025 Accepting new patients
New Jersey Behavioral Health P.C CurrentSince Apr 20, 2026 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

457 Haddonfield Rd
Ste 230
Cherry Hill, NJ 08002
Phone (609) 969-8026

525 Route 73 N
Ste 302
Marlton, NJ 08053
Phone (833) 464-6724

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1295290732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "732-982-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 HADDONFIELD RD STE 230",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022201",
            "telephone_number": "732-982-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "ALYSSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00907400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.