Alyssa Eilert

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88001459A Issued in IN

Practice address

2809 Washington Ave Ste R
Bedford, IN 47421-5310

Phone

(812) 278-8707

NPI assigned

Sep 20, 2021

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

State licenses

Practice roles

Locations

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.

• Family Matters Counseling and Consulting LLC

  • Clinical Social Worker
  • Bedford, IN
  • NPI 1407155575
  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1508536541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 WASHINGTON AVE STE R",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 WASHINGTON AVE STE R",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215310",
            "telephone_number": "812-278-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILERT",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88001459A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Maryann Eagan, OTR/L
• Holly Ryann Eason, PHARMD
• John L Eckard, MD
• James R Edwards, DC DABCO LAC
• Nichole Edwards, RBT
• Elite Home Healthcare LLC
• Elite Personal Care LLC
• Kristen Elliott, RBT
• Engleking RX Lincoln Plaza LLC
• Michelle Enjilian, D.D.S

• Mental Health Counselor in Bedford, IN
• Providers in Bedford, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.