Individual provider Active NPI

Alyssa Cummings, LPC

  • Professional Counselor
  • Simsbury, CT
National Provider Identifier
1770075814
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5614 Issued in CT
Practice address
71 Hop Brook Rd
Simsbury, CT 06070-1530
Phone
(516) 655-8279
NPI assigned
Jun 5, 2018
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 5614 CT Primary

Addresses

Primary practice location

71 Hop Brook Rd
Simsbury, CT 06070-1530

Mailing address

71 Hop Brook Rd
Simsbury, CT 06070-1530
Phone (516) 655-8279

Other names 1

  • Alyssa Mucciolo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alyssalpca@stokescounseling.org Direct

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
I20240119001542 CT Practitioner - Mental Health Counselor 1153773684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Acclimate Counseling Mental Health Current Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1770075814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HOP BROOK RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701530",
            "telephone_number": "516-655-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOP BROOK RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701530",
            "telephone_number": "516-655-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "ALYSSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alyssalpca@stokescounseling.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "71 Hop Brook Rd",
            "city": "Simsbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060701530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MUCCIOLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simsbury, CT

Sources for this page

Verify at the official NPI Registry.