Alyssa Evon Chamberlin, MA, LMHC, MHP, SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60764023 Issued in WA

Practice address

3805 108TH Ave NE
Suite #204, Village Office Park
Bellevue, WA 98004-7613

Phone

(425) 242-1713

NPI assigned

May 9, 2013

Last updated

Jun 23, 2023By 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 2

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

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.

• Ikron Greater Seattle

  • Community/Behavioral Health Agency
  • Bellevue, WA
  • NPI 1205230935
  NPD (past)
• Ikron Greater Seattle

  • Case Management Agency
  • Bellevue, WA
  • NPI 1215439799
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1558706002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 108TH AVE NE",
            "address_2": "SUITE #204, VILLAGE OFFICE PARK",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047613",
            "telephone_number": "425-242-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 108TH AVE NE",
            "address_2": "SUITE #204, VILLAGE OFFICE PARK",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047613",
            "telephone_number": "425-242-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "ALYSSA",
        "middle_name": "EVON",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, MHP, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61421569",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60764023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Chaille, LBA, BCBA
• Yassmine Chakir
• Chandrima Chakraborty
• Jean E Chakraborty, MD
• Alexis Marie Chamberlin, LCSW
• Shirley Jean Champoux, LMP
• Alex Chan, DDS
• Britlynn Chan, O.D.
• Caden Chan
• Chelsea Chan

• Mental Health Counselor in Bellevue, WA
• Providers in Bellevue, 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 23, 2023; 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.