Active NPI
Alyson Webster, M.ED, LPCC
- Professional Counselor
- Burnsville, MN
National Provider Identifier
1326442096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01645
- Practice address
- 14551 Judicial Rd Ste 100
Burnsville, MN 55306-4991 - Phone
- (952) 898-5020
- Fax
- (952) 898-5858
- NPI assigned
- Oct 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01645 | MN | Primary |
Addresses
Primary practice location
14551 Judicial Rd Ste 100
Burnsville, MN 55306-4991
Mailing address
14551 Judicial Rd Ste 100
Burnsville, MN 55306-4991
Phone (952) 898-5020
Other practice location 1
1755 Southcross Dr W
Burnsville, MN 55306-7012
Phone (952) 898-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W12301286791 | Other | IL | DRIVER'S LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01645 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verdant Roots Counseling LLC | Current | Accepting new patients | |
| Bushman Psychological Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Saint Paul, MN
- NPI 1538024724
-
- Mental Health Counselor
- Burnsville, MN
- NPI 1861580607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1326442096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14551 JUDICIAL RD STE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553064991",
"telephone_number": "952-898-5020",
"fax_number": "952-898-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14551 JUDICIAL RD STE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553064991",
"telephone_number": "952-898-5020",
"fax_number": "952-898-5858"
}
],
"practiceLocations": [
{
"address_1": "1755 Southcross Dr W",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553067012",
"country_code": "US",
"telephone_number": "952-898-5020",
"fax_number": "952-898-5858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBSTER",
"first_name": "ALYSON",
"credential": "M.ED, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "W12301286791",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.