Alissa Andrea Mortenson Tyka, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC 60644454 Issued in WA

Practice address

2763 152ND Ave NE
Building 4a
Redmond, WA 98052-5555

Phone

(425) 628-2763

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1467815639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 17TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123924",
            "telephone_number": "206-218-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 152ND AVE NE",
            "address_2": "BUILDING 4A",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525555",
            "telephone_number": "425-628-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON TYKA",
        "first_name": "ALISSA",
        "middle_name": "ANDREA",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60644454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Moosman, PHD
• Freya Carmen Moran, D.C., M.S.
• D'Annette Morris
• Ryann Morris
• Jessica Lee Morrow, L.M.P
• Christine Mosley, OTR/L
• Moss Bay Senior Living, Inc. (Redmond Heights Senior Living)
• Colette Moss, SLP
• Eve Alice Moss, LSWAIC
• Sarah Alice Mpare, FNP

• Mental Health Counselor in Redmond, WA
• Providers in Redmond, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.