Individual provider Active NPI

Alyssa Kniering, LPC

  • Professional Counselor
  • Berlin, CT
National Provider Identifier
1720588114
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3360 Issued in CT
Practice address
1227 Farmington Ave
Berlin, CT 06037-2301
Phone
(860) 888-2286
NPI assigned
Feb 13, 2018
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 3360 CT Primary

Addresses

Primary practice location

1227 Farmington Ave
Berlin, CT 06037-2301

Mailing address

8 Janet Dr
New Britain, CT 06053-1707
Phone (860) 919-5694

Other practice location 1

1068 W Main St
Waterbury, CT 06708-2676
Phone (860) 919-5694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20251027000075 CT Practitioner - Mental Health Counselor 9537658042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Wellness LLCGroup PAC ID 2668851064, 4 clinicians

Practice addresses (Care Compare)

1068 W Main St
1St FL.
Waterbury, CT 06708-2676
Phone (203) 518-4526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3360CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Wellness LLC Professional CurrentSince Sep 1, 2025 Accepting new patients
Laughing Moon, LLC CurrentSince Jul 29, 2026 Accepting new patients

Locations

1227 Farmington Ave
Berlin, CT 06037
Phone (860) 888-2286

1068 W Main St
Ste 1
Waterbury, CT 06708
Phone (203) 518-4526

Organizations & group practices 2

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1720588114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JANET DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531707",
            "telephone_number": "860-919-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 FARMINGTON AVE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372301",
            "telephone_number": "860-888-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 W Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082676",
            "country_code": "US",
            "telephone_number": "860-919-5694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIERING",
        "first_name": "ALYSSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

Verify at the official NPI Registry.