Active NPI
Alyssa Rose Nelson, LMHC, SUDP
- Mental Health Counselor
- Issaquah, WA
National Provider Identifier
1861037467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60943639
- Practice address
- 5322 235TH Ave SE
Issaquah, WA 98029 - Phone
- (425) 218-2064
- Fax
- (425) 453-5191
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60943639 | WA | Primary |
| Mental Health Counselor | 101YM0800X | CP61361950 | WA |
Addresses
Primary practice location
5322 235TH Ave SE
Issaquah, WA 98029
Mailing address
5322 235TH Ave SE
Issaquah, WA 98029
Phone (425) 218-2064
Other names 1
- Alyssa Overton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP61361950 | WA | MD | Mental Health Counselor |
| LH60943639 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1861037467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5322 235TH AVE SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98029",
"telephone_number": "425-218-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5322 235TH AVE SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98029",
"telephone_number": "425-218-2064",
"fax_number": "425-453-5191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ALYSSA",
"middle_name": "ROSE",
"credential": "LMHC, SUDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60943639",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CP61361950",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "OVERTON",
"credential": "LMHC, SUDP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.