Lisa Alvey, RMHI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

22379 Issued in FL

Practice address

907 Mar Walt Dr Ste 2022
Fort Walton Beach, FL 32547-6631

Phone

(850) 243-0095

Fax

(850) 374-3192

NPI assigned

Mar 2, 2023

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jun 13, 2024 through Jun 13, 2028

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 and National Provider Directory roles.

• New Light Counseling & Mediation

  • Adult Mental Health Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1386459451
  NPD Authorized official

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1891494464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2022",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476631",
            "telephone_number": "850-243-0095",
            "fax_number": "850-374-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2022",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476631",
            "telephone_number": "850-243-0095",
            "fax_number": "850-374-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVEY",
        "first_name": "LISA",
        "credential": "RMHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "22379",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "22379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED MENTAL HEALTH COUNSELOR INTERN",
            "identifier": "22379",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Rachel Allaire
• Logan Chadwick Allen, REGISTERED NURSE
• Marla J Allen
• Theresa D Allen, RN
• Carmen Alston
• American Homepatient, Inc.
• American Senior Living of Fort Walton Beach FL LLC
• Robert Keith Amiel, OD
• Michelle Ammon, M.ED., BCBA
• Gregory Ammons

• Mental Health Counselor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.