Individual provider Active NPI

Alyssa Malito, MA

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1447580667
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1333 Iris Ave
Boulder, CO 80304
Phone
(303) 413-6212
NPI assigned
Jan 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1333 Iris Ave
Boulder, CO 80304

Mailing address

1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 413-6212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • 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
I20250516000625 CO Practitioner - Mental Health Counselor 4486172178 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services Current Accepting new patients
Clinica Campesina Family Health Services CurrentSince Apr 12, 2025 Accepting new patients

Locations

975 North St
Boulder, CO 80304
Phone (303) 440-7941

3180 Airport Rd
Boulder, CO 80301
Phone (303) 378-6668

1000 Alpine Ave
Boulder, CO 80304
Phone (303) 332-1250

1333 Iris Ave
Boulder, CO 80304
Phone (303) 413-6212

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1455 Dixon Ave
Ste 300
Lafayette, CO 80026
Phone (303) 604-4244

1735 S Public Rd
Ste 203
Lafayette, CO 80026

1455 Dixon Ave
Lafayette, CO 80026
Phone (720) 406-3604

834 S Sherman St
Longmont, CO 80501
Phone (303) 247-8700

515 Coffman St
Longmont, CO 80501
Phone (303) 409-0132

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": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1447580667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042226",
            "telephone_number": "303-413-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80304",
            "telephone_number": "303-413-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALITO",
        "first_name": "ALYSSA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.