Alisa Rose Wedemeyer, MED, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC609930095 Issued in WA

Practice address

5502 34TH Ave NE
Seattle, WA 98105-2305

Phone

(206) 420-7345

Fax

(206) 829-9678

NPI assigned

Jun 22, 2020

Last updated

Jun 22, 2020By 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 Education

State licenses

Practice roles

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.

• Hallowell Todaro Center PLLC

  dba Hallowell Todaro ADHD & Behavioral Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1689024580
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1487270823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 NE 81ST ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154745",
            "telephone_number": "206-356-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 34TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052305",
            "telephone_number": "206-420-7345",
            "fax_number": "206-829-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDEMEYER",
        "first_name": "ALISA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MED, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC609930095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Rudolph Wechselberger, D.C.
• Mary E. Wechsler, ARNP
• Debra G Wechter, MD
• Weconnect Health Management SPC
• Larisa A Weczorek, DPT
• Kathleen M Weden, OTR/L
• Patrick James Wedgeworth, MD
• Wedgwood Family Dentistry
• Wedgwood Smiles
• Alvin Gerard Wee, D.D.S., M.S., M.P.H.

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 Jun 22, 2020; 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.