Individual provider Active NPI

Alyssa Bluemel, PPC

  • Counselor
  • Evanston, WY
National Provider Identifier
1609787837
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1707 Issued in WY
Practice address
609 Gage Ave
Evanston, WY 82930-5151
Phone
(307) 254-1818
Fax
(307) 481-7321
NPI assigned
Sep 16, 2026
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1707 WY Primary

Addresses

Primary practice location

609 Gage Ave
Evanston, WY 82930-5151

Mailing address

609 Gage Ave
Evanston, WY 82930-5151
Phone (307) 254-1818

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
1707WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
CG Mental Health Inc. Past 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, 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": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1609787837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 GAGE AVE",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305151",
            "telephone_number": "307-254-1818",
            "fax_number": "307-481-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 GAGE AVE",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305151",
            "telephone_number": "307-254-1818",
            "fax_number": "307-481-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUEMEL",
        "first_name": "ALYSSA",
        "credential": "PPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.