Individual provider Active NPI

Alyssa Haley, LCSW

  • Social Worker
  • Hudson, NY
National Provider Identifier
1346902087
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
01-104499 Issued in NY
Practice address
430 E Allen St
Hudson, NY 12534-2576
Phone
(516) 467-7344
NPI assigned
Oct 11, 2021
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 01-104499 NY Primary

Addresses

Primary practice location

430 E Allen St
Hudson, NY 12534-2576

Mailing address

67 Payn Ave
Chatham, NY 12037-1428

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.simplepractice.com/?utm_source=google&utm_medium=cpc&utm_campaign=rc-search-brand-exact&utm_term=simple%20practice&gclid=EAIaIQobChMIoIfUmtHC8wIVivOzCh15mwjlEAAYASAAEgIDjPD_BwE Direct AJS Mental Health Counseling

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241218003685 NY Practitioner - Clinical Social Worker 9234666900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ajs Mental Health Counseling PLLCGroup PAC ID 1557703444, 5 clinicians

Practice addresses (Care Compare)

430 E Allen St
Hudson, NY 12534-2576
Phone (518) 610-8449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-104499NYMDSocial Worker
092755NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ajs Mental Health Counseling, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Tri-State Psychotherapy Group LLC Past Accepting new patients
Tanya D Mays MD PLLC Past Accepting new patients

Locations

436 Union St
Hudson, NY 12534

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9716/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1346902087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 PAYN AVE",
            "city": "CHATHAM",
            "state": "NY",
            "postal_code": "120371428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E ALLEN ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342576",
            "telephone_number": "516-467-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "01-104499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.simplepractice.com/?utm_source=google&utm_medium=cpc&utm_campaign=rc-search-brand-exact&utm_term=simple%20practice&gclid=EAIaIQobChMIoIfUmtHC8wIVivOzCh15mwjlEAAYASAAEgIDjPD_BwE",
            "affiliation": "Y",
            "endpointDescription": "HIPPA compliant platform",
            "affiliationName": "AJS Mental Health Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Documentation, client information exchange",
            "address_1": "430 E Allen St",
            "city": "Hudson",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125342576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.