Active NPI
Alyssa Fenner Harwood, LPCC
- Professional Counselor
- South Point, OH
National Provider Identifier
1336502194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2001788
- Practice address
- 178 Private Dr. 19423
South Point, OH 45680-8831 - Phone
- (740) 313-0040
- Fax
- (740) 894-1132
- NPI assigned
- Mar 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C1400294 | OH | |
| Professional Counselor | 101YP2500X | E.2001788 | OH | Primary |
Addresses
Primary practice location
178 Private Dr. 19423
South Point, OH 45680-8831
Mailing address
178 Private Dr. 19423
South Point, OH 45680-8831
Phone (740) 313-0040
Other names 1
- Alyssa Fenner
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1400294 | OH | MD | Counselor |
| E.2001788 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Necco, LLC | Professional | Past | Accepting new patients |
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": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1336502194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 PRIVATE DR. 19423",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456808831",
"telephone_number": "740-313-0040",
"fax_number": "740-894-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 PRIVATE DR. 19423",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456808831",
"telephone_number": "740-313-0040",
"fax_number": "740-894-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARWOOD",
"first_name": "ALYSSA",
"middle_name": "FENNER",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C1400294",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2001788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "FENNER",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Point, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.