Individual provider Active NPI

Alyssa Wennerlind, LPC

  • Professional Counselor
  • Midland, TX
National Provider Identifier
1801304480
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74764 Issued in TX
Practice address
3701 Andrews Hwy.
Midland, TX 79703
Phone
(432) 570-1084
Fax
(432) 570-4069
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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 74764 TX Primary

Addresses

Primary practice location

3701 Andrews Hwy.
Midland, TX 79703

Mailing address

3701 Andrews Hwy
Midland, TX 79703-4963
Phone (432) 570-1084

Other names 1

  • Alyssa Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240212003677 TX Practitioner - Mental Health Counselor 8820431307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74764TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Children & Families Inc Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

3701 Andrews Hwy
Midland, TX 79703
Phone (432) 570-1084

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1801304480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034963",
            "telephone_number": "432-570-1084",
            "fax_number": "432-570-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 ANDREWS HWY.",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79703",
            "telephone_number": "432-570-1084",
            "fax_number": "432-570-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNERLIND",
        "first_name": "ALYSSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "THOMPSON",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.