Active NPI
Therapy Link, Licensed Clinical Social Worker, Inc.
Doing business as Therapy Link
- Clinical Social Worker
- Penn Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alysa Harless Johnson, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alysa@therapylink.services |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Penn Valley, CA
- NPI 1235590258
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.