Individual provider Active NPI

Alyson Wogenrich

  • Marriage & Family Therapist
  • Allentown, PA
National Provider Identifier
1598234692
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF001490 Issued in PA
Practice address
2015 Hamilton St Ste 206
Allentown, PA 18104-6471
Phone
(484) 274-6895
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MT3321 FL
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MF001490 PA Primary

Addresses

Primary practice location

2015 Hamilton St Ste 206
Allentown, PA 18104-6471

Mailing address

2368 Minnie LN
Allentown, PA 18104-1218
Phone (610) 248-3981

Other practice location 1

2368 Minnie Ln
Allentown, PA 18104-1218
Phone (484) 893-0784

Other practice location 2

2218 Walbert Ave
Allentown, PA 18104-1439
Phone (610) 443-0464

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

LicenseStateTypeSpecialty
MT3321FLMDMarriage & Family Therapist
MF001490PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Counseling Associates PastSince Jul 24, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1598234692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 MINNIE LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041218",
            "telephone_number": "610-248-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 HAMILTON ST STE 206",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046471",
            "telephone_number": "484-274-6895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2368 Minnie Ln",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181041218",
            "country_code": "US",
            "telephone_number": "484-893-0784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2218 Walbert Ave",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181041439",
            "country_code": "US",
            "telephone_number": "610-443-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOGENRICH",
        "first_name": "ALYSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3321",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.