Individual provider Active NPI

Alyssa F Nagel, LPC

  • Professional Counselor
  • Fayetteville, AR
National Provider Identifier
1407100258
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2507019 Issued in AR
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

Updated by the provider on May 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
P2507019ARMDProfessional Counselor
2012037177MOMDProfessional Counselor
C6605ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Wellness, Inc. Professional Current Accepting new patients
New Vision Youth and Family Services Inc Professional PastSince May 1, 2002 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.

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.

Verify at the official NPI Registry.