Active NPI
Alyssa Hurchick, MS NCC
- Mental Health Counselor
- Dunmore, PA
National Provider Identifier
1336606631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1416 Monroe Ave Ste 205
Dunmore, PA 18509-2477 - Phone
- (570) 871-0203
- NPI assigned
- Feb 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1416 Monroe Ave Ste 205
Dunmore, PA 18509-2477
Mailing address
933 Fisk St
Scranton, PA 18509-1135
Phone (570) 301-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 8, 2024 through Feb 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1336606631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 FISK ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185091135",
"telephone_number": "570-301-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 MONROE AVE STE 205",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185092477",
"telephone_number": "570-871-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURCHICK",
"first_name": "ALYSSA",
"credential": "MS NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-23",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.