Individual provider Active NPI

Alyssa Burleson, LPCA

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1376217380
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86028 Issued in TX
Practice address
3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone
(903) 200-1433
Fax
(903) 405-4047
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 86028 TX Primary

Addresses

Primary practice location

3118 H G Mosley Pkwy
Longview, TX 75605-2941

Mailing address

3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone (903) 200-1433

Other practice location 1

911 W Loop 281 Ste 211
Longview, TX 75604-2930
Phone (936) 229-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240801003634 TX Practitioner - Mental Health Counselor 0547707069 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kranz Psychological Services, PLLC Professional CurrentSince May 19, 2024 Accepting new patients
Counseling Services, PLLC Professional CurrentSince Aug 19, 2025 Accepting new patients
Dragonfly Therapeutic Services, PLLC Professional CurrentSince Jun 15, 2025 Accepting new patients

Locations

3118 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 200-1433

911 W Loop 281
Ste 211
Longview, TX 75604
Phone (903) 231-3220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1376217380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433",
            "fax_number": "903-405-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433",
            "fax_number": "903-405-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W Loop 281 Ste 211",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042930",
            "country_code": "US",
            "telephone_number": "936-229-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "ALYSSA",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.