Individual provider Active NPI

Alyssa Gorbett, CADAC II

  • Addiction (Substance Use Disorder) Counselor
  • Seymour, IN
National Provider Identifier
1447850102
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C2-5168 Issued in IN
Practice address
105 W 2ND St Ste 203
Seymour, IN 47274-2174
Phone
(812) 271-2300
NPI assigned
Oct 30, 2020
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C2-5168 IN Primary

Addresses

Primary practice location

105 W 2ND St Ste 203
Seymour, IN 47274-2174

Mailing address

105 W 2ND St Ste 203
Seymour, IN 47274-2174
Phone (812) 216-0128

Other names 1

  • Alyssa Corya Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agorbett@southeastindianaaddictioncenter.com Direct

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
C2-5168INMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Recovery Center, LLC Addiction (Substance Use Disorder) PastSince Oct 5, 2021 Accepting new patients
Roadways to Recovery Inc., Addiction (Substance Use Disorder) PastSince Oct 5, 2021 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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1447850102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 2ND ST STE 203",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742174",
            "telephone_number": "812-216-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 2ND ST STE 203",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742174",
            "telephone_number": "812-271-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBETT",
        "first_name": "ALYSSA",
        "credential": "CADAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "C2-5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agorbett@southeastindianaaddictioncenter.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 W 2nd St Ste 203",
            "city": "Seymour",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472742174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "CORYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.