Organization Active NPI

Therapy Link, Licensed Clinical Social Worker, Inc.

Doing business as Therapy Link

  • Clinical Social Worker
  • Penn Valley, CA
National Provider Identifier
1629726328
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPY LINK, LICENSED CLINICAL SOCIAL WORKER, INC.
Doing business as
Therapy Link
Practice address
14011 Lodgepole CT
Penn Valley, CA 95946-9128
Phone
(916) 599-5524
NPI assigned
Mar 13, 2022
Last updated
Mar 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Authorized official

Name
Alysa Harless Johnson, LCSWNPI 1235590258
Title
Ceo/Manager
Phone
(916) 407-0047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

14011 Lodgepole CT
Penn Valley, CA 95946-9128

Mailing address

11354 Pleasant Valley Rd # 94
Penn Valley, CA 95946-9000
Phone (916) 407-0047

Other names 1

  • Therapy Link Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alysa@therapylink.services

National Provider Directory

National Provider Directory

Locations

11354 Pleasant Valley Rd
Penn Valley, CA 95946

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1629726328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11354 PLEASANT VALLEY RD # 94",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469000",
            "telephone_number": "916-407-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 LODGEPOLE CT",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469128",
            "telephone_number": "916-599-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY LINK, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALYSA",
        "authorized_official_middle_name": "HARLESS",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "916-407-0047",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alysa@therapylink.services",
            "affiliation": "N",
            "address_1": "14011 Lodgepole Ct",
            "city": "Penn Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959469128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Therapy Link",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Penn Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.