Alyssa Berry
Individual provider Active NPI Professional Counselor · Radcliff, KY
NPI 1366098519 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1366098519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 185 E Lincoln Trail Blvd
Radcliff, KY 40160-1253 - Phone
- (270) 317-1318
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
185 E Lincoln Trail Blvd
Radcliff, KY 40160-1253
Mailing address
74 Barnes Rd
Bardstown, KY 40004-9643
Phone (502) 349-8173
Other providers in Radcliff, KY
- Baptist Health Medical Group Inc
- Baptist Healthcare System Inc
- Misty D Barbieri
- Christina Beasley
- Christopher Ryan Belknap
- Better Options Support Services, LLC
- Joseph Blankenship
- Gwendolyn Elaine Bloomfield
- Miranda P Board
- Melinda Bogle
All providers in Radcliff, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.