Individual provider Active NPI

Alyssa Weidman, MA, LPC, NCC, CAS

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1407400245
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0015514 Issued in CO
Practice address
1460 Pierce St
Lakewood, CO 80214-1941
Phone
(720) 334-7648
NPI assigned
Jul 30, 2019
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0015514 CO Primary
Professional Counselor 101YP2500X LPC.0015514 CO

Addresses

Primary practice location

1460 Pierce St
Lakewood, CO 80214-1941

Mailing address

1460 Pierce St
Lakewood, CO 80214-1941
Phone (720) 334-7648

Other practice location 1

1121 S Alton St Unit A
Denver, CO 80247-7376
Phone (720) 281-3219

Other identifiers 1

IdentifierTypeStateIssuer
LPC.0015514OtherCOLICENSE NUMBER

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0015514COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Free Psychotherapy, PLLC CurrentSince Oct 27, 2022 Accepting new patients
Animal Assisted Therapy Programs of Colorado PastSince Feb 9, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1407400245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 PIERCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141941",
            "telephone_number": "720-334-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 PIERCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141941",
            "telephone_number": "720-334-7648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 S Alton St Unit A",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802477376",
            "country_code": "US",
            "telephone_number": "720-281-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "ALYSSA",
        "credential": "MA, LPC, NCC, CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015514",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LPC.0015514",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.