Individual provider Active NPI

Alissa Lois Vang, LMHC

  • Mental Health Counselor
  • Yulee, FL
National Provider Identifier
1316438906
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15852 Issued in FL
Practice address
463142 State Road 200
Yulee, FL 32097-5554
Phone
(904) 225-8280
Fax
(904) 225-8232
NPI assigned
May 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15852 FL Primary

Addresses

Primary practice location

463142 State Road 200
Yulee, FL 32097-5554

Mailing address

463142 State Road 200
Yulee, FL 32097-5554
Phone (904) 225-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241218000974 FL Practitioner - Mental Health Counselor 5193252914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau County Mental Health Alcohol & Drug Abuse Council Inc CurrentSince Oct 24, 2024 Accepting new patients

Locations

463142 State Road 200
Yulee, FL 32097
Phone (904) 225-8280

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": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1316438906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463142 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975554",
            "telephone_number": "904-225-8280",
            "fax_number": "904-225-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463142 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975554",
            "telephone_number": "904-225-8280",
            "fax_number": "904-225-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "ALISSA",
        "middle_name": "LOIS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

Verify at the official NPI Registry.