Active NPI
Alyssa F Nagel, LPC
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1407100258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2507019
- Practice address
- 93 W Colt Square Dr Ste 6
Fayetteville, AR 72703-2851 - Phone
- (479) 388-1571
- NPI assigned
- Nov 1, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2012037177 | MO | |
| Professional Counselor | 101YP2500X | P2507019 | AR | Primary |
| Professional Counselor | 101YP2500X | C6605 | OR |
Addresses
Primary practice location
93 W Colt Square Dr Ste 6
Fayetteville, AR 72703-2851
Mailing address
16884 Bethlehem Rd
Winslow, AR 72959-9710
Phone (573) 334-3486
Other names 1
- Alyssa F Thurman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2507019 | AR | MD | Professional Counselor |
| 2012037177 | MO | MD | Professional Counselor |
| C6605 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Life Wellness, Inc. | Professional | Current | Accepting new patients |
| New Vision Youth and Family Services Inc | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Winslow, AR
- NPI 1033058557
-
- Professional Counselor
- Cape Girardeau, MO
- NPI 1396950614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1407100258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16884 BETHLEHEM RD",
"city": "WINSLOW",
"state": "AR",
"postal_code": "729599710",
"telephone_number": "573-334-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 W COLT SQUARE DR STE 6",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032851",
"telephone_number": "479-388-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "ALYSSA",
"middle_name": "F",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-01",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2012037177",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2507019",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6605",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "THURMAN",
"middle_name": "F",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.