Alyssa Hollis Tudor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10992 Issued in CA

Practice address

1515 S Oregon St
Yreka, CA 96097-3475

Phone

(530) 841-3141

NPI assigned

Jan 14, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1952052615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 YAMA ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972335",
            "telephone_number": "530-598-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S OREGON ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973475",
            "telephone_number": "530-841-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDOR",
        "first_name": "ALYSSA",
        "middle_name": "HOLLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "10992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atudor@karuk.us",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1515 S Oregon St",
            "city": "Yreka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960973475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mike Todd, RPH
• Christine Louise Tolman
• Joan Evonne Trabucco, PSYCH TECH
• Trevor L. Ragan, DDS, Inc.
• John Tribble, M.D.
• Ashlee Turner
• Krista Urrutia
• Douglas Vader
• Suzanne Marie Vansummern, PT
• Timothy Varga

• Mental Health Counselor in Yreka, CA
• Providers in Yreka, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.