Alysha Marie Balonis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011516 Issued in PA

Practice address

704 E Grand Ave
Tower City, PA 17980-1216

Phone

(717) 461-2014

Fax

(717) 647-2573

NPI assigned

Jul 18, 2019

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alysha Marie Bixler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Williamstown Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williamstown, PA
  • NPI 1912691270
  NPD Authorized official
• Williamstown Counseling Center LLC

  • Professional Counselor
  • Williamstown, PA
  • NPI 1619503786
  Authorized official Same address or phone

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1790338739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E GRAND AVE",
            "city": "TOWER CITY",
            "state": "PA",
            "postal_code": "179801216",
            "telephone_number": "717-991-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E GRAND AVE",
            "city": "TOWER CITY",
            "state": "PA",
            "postal_code": "179801216",
            "telephone_number": "717-461-2014",
            "fax_number": "717-647-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALONIS",
        "first_name": "ALYSHA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036767410003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSHA",
            "last_name": "BIXLER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa C Amershek
• Jessica Lynn Bova, M.S.,CCC-SLP
• Community Ambulance Service Club
• Joel James Digris, M.S.P.T
• Paul Clay Dimon, OPTICIAN
• Elsie J. Wenrich (Leslie W Wenrich Associates)

• Professional Counselor in Tower City, PA
• Providers in Tower City, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.