Alyse Jeanne Laverne, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT114196 Issued in CA

Practice address

3429 Renner Dr
Fortuna, CA 95540-3104

Phone

(707) 617-0323

NPI assigned

May 26, 2020

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Humboldt Neurohealth Therapeutic ServicesGroup PAC ID 6709218589, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humboldt Neurohealth Therapeutic Services

  • Adult Mental Health Clinic/Center
  • Fortuna, CA
  • NPI 1710459292
  Medicare reassignment Care Compare group NPD
• Humboldt Neurohealth Therapeutic Services

  • Case Manager/Care Coordinator
  • Fortuna, CA
  • NPI 1033090774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1336762376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955400282",
            "telephone_number": "707-826-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 RENNER DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403104",
            "telephone_number": "707-617-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERNE",
        "first_name": "ALYSE",
        "middle_name": "JEANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT114196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Krause
• Kristin L Perkins, MSW, LCSW
• Daniel Ackah Kwofie, PHARMD
• Kelly Larose
• Whitney Last
• Kenny Lee
• Miae Lee, CRNA
• Patricia Jean Lewis, R.N.
• Katherine Loveless, LCSW
• Electra Lyman

• Marriage & Family Therapist in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.