Individual provider Active NPI

Alyssa Michelle Clary-Sanchez, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1609553239
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
299322 Issued in KY
Practice address
100 Executive Park Ste 103
Louisville, KY 40207-4201
Phone
(502) 313-6880
NPI assigned
Jul 5, 2023
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 299322 KY Primary

Addresses

Primary practice location

100 Executive Park Ste 103
Louisville, KY 40207-4201

Mailing address

100 Executive Park Ste 103
Louisville, KY 40207-4201
Phone (502) 313-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250820001182 KY Practitioner - Mental Health Counselor 8224537741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12500 Saxony Park Cir Unit
Suite 202
Louisville, KY 40299-2763

PO Box
Suite 3932
West Somerset, KY 42564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299322KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindsight PLLC Professional CurrentSince Aug 6, 2025 Accepting new patients
Innovative Solutions R & D LLC CurrentSince Aug 6, 2025 Accepting new patients

Locations

600 Monticello St
Ste 2
Somerset, KY 42501
Phone (606) 401-2966

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1609553239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE PARK STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074201",
            "telephone_number": "502-313-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE PARK STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074201",
            "telephone_number": "502-313-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY-SANCHEZ",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "299322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.