Alissa K Darin, LPC
Individual provider Active NPI Professional Counselor · Delafield, WI
NPI 1497465900 · NPPES record last updated Nov 25, 2022
Key facts
- NPI
- 1497465900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 10111-125 (WI)
- Practice address
- 383 Williamstowne Ste 101
Delafield, WI 53018-2332 - Phone
- (262) 337-9770
- Fax
- (262) 337-9771
- NPI assigned
- Nov 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10111-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gals Institute, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10111-125 | WI | Yes |
Addresses
Primary practice location
383 Williamstowne Ste 101
Delafield, WI 53018-2332
Mailing address
106 Dairy Ave
Waukesha, WI 53188-2679
Phone (262) 337-9770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10111-125 | Other | WI | STATE LICENSE |
| 10111-125 | Other | WI | LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@gals.institute | Gals Institute, LLC |
Other providers in Delafield, WI
- Craig D. Childs, PHD, S.C.
- Creating Balance LLC
- David W Cullinane
- Kathryn M Daggett
- Tara L. Dall
- Jeffrey Royal Deemer-White
- Delafield Chiropractic LLC
- Delafield Dental LLC
- Delafield Dental Specialists LLC
- Delafield Family Chiropractic LTD
All providers in Delafield, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.