Active NPI
Alyssa Marie Roussel
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1902732084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A22953
- Practice address
- 7751 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-2442 - Phone
- (704) 626-6550
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A22953 | NC | Primary |
Addresses
Primary practice location
7751 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-2442
Mailing address
7751 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-2442
Phone (704) 626-6550
Other names 1
- Alyssa Marie Barnes
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One:12 Counseling PLLC | Mental Health | Past | Accepting new patients |
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": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1902732084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7751 BALLANTYNE COMMONS PKWY STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772442",
"telephone_number": "704-626-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7751 BALLANTYNE COMMONS PKWY STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772442",
"telephone_number": "704-626-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEL",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A22953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "BARNES",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.