Alycia Lassiter

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20246 Issued in NC

Practice address

525 S Church St Ste a
Asheboro, NC 27203-5678

Phone

(336) 628-0109

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bloom Therapeutics PLLC

  • Clinical Social Worker
  • Asheboro, NC
  • NPI 1467137109
  NPD (past)

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1770216038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S CHURCH ST STE A",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035678",
            "telephone_number": "336-628-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S CHURCH ST STE A",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035678",
            "telephone_number": "336-628-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "ALYCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCMHC ASSOCIATE",
            "identifier": "A20246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lamboy and Rubio, DDS, PA.
• Julio Nelson Lamboy Ruiz, DDS
• Joy Bekier Lamonds, LCAS
• Chelsea Ellis Lamont, AU.D.
• Laura Jenkins Lasley
• Bethany S Latham
• Hannah Justine Lavoie, PA-C
• Rosemarie Zadlo Lawrence, B.S.
• Frank Layman, DPT
• Jonathan David Lecrone, MD

• All providers in Asheboro, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.