Active NPI
Alyssa Triolo, LCMHC
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1588199202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12787
- Practice address
- 1901 Adams Farm Pkwy
Greensboro, NC 27407-6338 - Phone
- (336) 722-7266
- NPI assigned
- May 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A12787 | NC | |
| Professional Counselor | 101YP2500X | 12787 | NC | Primary |
Addresses
Primary practice location
1901 Adams Farm Pkwy
Greensboro, NC 27407-6338
Mailing address
713 S Marshall St
Winston Salem, NC 27101-5808
Phone (336) 722-7266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12787 | NC | MD | Counselor |
| 12787 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mood Treatment Center, PLLC | Current | Accepting new patients |
Locations
1901 Adams Farm Pkwy
Greensboro, NC 27407
Phone 336722726623208
713 S Marshall St
Winston Salem, NC 27101
Phone (336) 831-3738
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1285867952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1588199202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 S MARSHALL ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271015808",
"telephone_number": "336-722-7266",
"fax_number": "336-201-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 ADAMS FARM PKWY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274076338",
"telephone_number": "336-722-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIOLO",
"first_name": "ALYSSA",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A12787",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.