Active NPI
Alyssa Erickson
- Professional Counselor
- Chula Vista, CA
National Provider Identifier
1376732669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3590
- Practice address
- 855 3Rd Ave Ste 1110
Chula Vista, CA 91911-1350 - Phone
- (619) 934-5770
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PCI #258 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 3590 | CA | Primary |
Addresses
Primary practice location
855 3Rd Ave Ste 1110
Chula Vista, CA 91911-1350
Mailing address
855 3Rd Ave Ste 1110
Chula Vista, CA 91911-1350
Phone (619) 934-5770
Other practice location 1
995 Gateway Center Way Ste 300
San Diego, CA 92102-4550
Phone (619) 398-2156 ext. 110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCI #258 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCI #258 | CA | MD | Mental Health Counselor |
| 3590 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1376732669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 3RD AVE STE 1110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111350",
"telephone_number": "619-934-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 3RD AVE STE 1110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111350",
"telephone_number": "619-934-5770"
}
],
"practiceLocations": [
{
"address_1": "995 Gateway Center Way Ste 300",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921024550",
"country_code": "US",
"telephone_number": "619-398-2156 x110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICKSON",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PCI #258",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "3590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "PCI #258",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.