Individual provider Active NPI

Alissa Jeanne Walsh, LPC, CAADC, ATR-BC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1316367030
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011417 Issued in PA
Practice address
502 W 7TH St Ste 100
Erie, PA 16502-1333
Phone
(267) 223-7044
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 27793077 PA
Art Therapist 221700000X 18-050 PA
Professional Counselor 101YP2500X PC011417 PA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10382 PA

Addresses

Primary practice location

502 W 7TH St Ste 100
Erie, PA 16502-1333

Mailing address

5020 Springfield Ave
Philadelphia, PA 19143-4233

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
I20240221001364 PA Practitioner - Mental Health Counselor 7113361858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Philadelphia, PA 19119
Phone (267) 223-7044

5020 Springfield Ave
Philadelphia, PA 19143-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10382PAMDAddiction (Substance Use Disorder) Counselor
27793077PAMDMental Health Counselor
18-050PAMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tend Therapy, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

502 W 7th St
Ste 100
Erie, PA 16502
Phone (215) 258-4243

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1316367030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 SPRINGFIELD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 7TH ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021333",
            "telephone_number": "267-223-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ALISSA",
        "middle_name": "JEANNE",
        "credential": "LPC, CAADC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "27793077",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "PA",
            "license": "18-050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011417",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "10382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.