Individual provider Active NPI

Alyson Krahl, MA, LPC

  • Professional Counselor
  • Mauldin, SC
National Provider Identifier
1790109304
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2914 Issued in CT
Practice address
503 S Main St
Mauldin, SC 29662-2204
Phone
(779) 777-7335
NPI assigned
Feb 18, 2014
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 2914 CT Primary

Addresses

Primary practice location

503 S Main St
Mauldin, SC 29662-2204

Mailing address

80 Benny Dr
Plantsville, CT 06479-1811
Phone (860) 919-5884

Other names 1

  • Alyson Depathy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250430000195 SC Practitioner - Mental Health Counselor 7517483829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Relationships, LLCGroup PAC ID 4981129392, 3 clinicians

Practice addresses (Care Compare)

503 S Main St
Mauldin, SC 29662-2204
Phone (779) 777-7335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2914CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Relationships, LLC CurrentSince Apr 1, 2025 Accepting new patients
Novo: Renewing Joy in Life, PC Professional PastSince Mar 1, 2012 Accepting new patients

Locations

503 S Main St
Mauldin, SC 29662
Phone (779) 777-7335

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1790109304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BENNY DR",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791811",
            "telephone_number": "860-919-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622204",
            "telephone_number": "779-777-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHL",
        "first_name": "ALYSON",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "DEPATHY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mauldin, SC

Sources for this page

Verify at the official NPI Registry.