Individual provider Active NPI

Alysia Griesheimer, LPC

  • Professional Counselor
  • Gretna, LA
National Provider Identifier
1558899864
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6937 Issued in LA
Practice address
401 Whitney Ave Ste 320
Gretna, LA 70056-2502
Phone
(504) 263-1403
Fax
(504) 263-1423
NPI assigned
May 31, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X 6937 LA Primary
Clinical Social Worker 1041C0700X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

401 Whitney Ave Ste 320
Gretna, LA 70056-2502

Mailing address

401 Whitney Ave Ste 320
Gretna, LA 70056-2502
Phone (504) 263-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125000640 TX Practitioner - Mental Health Counselor 3971956095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pecan Valley MHMR RegionGroup PAC ID 4688627706, 20 clinicians

Practice addresses (Care Compare)

1715 Santa Fe Dr
Weatherford, TX 76086-6419
Phone (817) 599-7634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6937LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Valley MHMR Region CurrentSince Jan 1, 2024 Accepting new patients
American Active Rehab Inc CurrentSince Jun 25, 2023 Accepting new patients
Pecan Valley MHMR Region Professional CurrentSince Oct 1, 2022 Accepting new patients

Locations

401 Whitney Ave
Ste 320
Gretna, LA 70056
Phone (504) 263-1403

1601 N Anglin St
Cleburne, TX 76031
Phone (817) 202-2732

104 Pirate Dr
Granbury, TX 76048
Phone (817) 573-2662

2101 W Pearl St
Granbury, TX 76048
Phone (817) 552-2007

906 W Lingleville Rd
Stephenville, TX 76401
Phone (254) 968-4181

1715 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 579-4400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558899864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE STE 320",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562502",
            "telephone_number": "504-263-1403",
            "fax_number": "504-263-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE STE 320",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562502",
            "telephone_number": "504-263-1403",
            "fax_number": "504-263-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHEIMER",
        "first_name": "ALYSIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6937",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.