Alyse A Piazza, MA. LMHC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002832A Issued in IN

Practice address

6319 Mutual Dr Ste F
Fort Wayne, IN 46825-4246

Phone

(260) 385-8744

NPI assigned

Jul 22, 2013

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Piazza Counseling Group, LLC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1124727672
  NPD Authorized official
• Fort Wayne Mental Health Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
  • NPI 1184547259
  Authorized official Same address or phone

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1902248735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 LIVE OAK BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044036",
            "telephone_number": "260-385-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 MUTUAL DR STE F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254246",
            "telephone_number": "260-385-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "ALYSE",
        "middle_name": "A",
        "credential": "MA. LMHC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002832A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physiotherapy Associates Inc (Physiotherapy Associates)
• Robert L. Piasecki, DO
• Corissa Piatka
• Jason Piatt
• Piazza Counseling Group, LLC
• Robert B Pickard III, MSW
• Kalyn Pickens, RPH
• Lynnette Latrice Pickett
• Elizabeth Pictor, LMHC
• Rachel Pictor, RBT

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.