Alyssa Butler, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CCMH0217651 Issued in NM

Practice address

1409 Zepol Rd Apt 110
Santa Fe, NM 87507

Phone

(847) 420-1897

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• GD Psych Services, LLC

  • Psychologist
  • Rio Rancho, NM
  • NPI 1801379433

  Mental Health

  Medicare reassignment NPD
• Nature's Palette Therapeutics LLC

  • Mental Health Counselor
  • Los Ojos, NM
  • NPI 1922780568
  NPD Authorized official
• Teambuilders Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1790329472
  Medicare reassignment

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1972032563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 BROADWAY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 ZEPOL RD APT 110",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "847-420-1897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Peninsula Dr",
            "address_purpose": "LOCATION",
            "city": "Los Ojos",
            "state": "NM",
            "postal_code": "87551",
            "country_code": "US",
            "telephone_number": "720-515-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALYSSA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0217651",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0196401",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0217651",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CL0196401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney S Bush
• Taylor Victoria Bussell, DPT
• Laurissa Bustillos, MS
• Michelle T Bustos
• Paul Butcher, MPT,CSCS
• Cecilia Butler, RD
• Janet Butler
• Butterfly Counseling, LLC
• Taryn Mira Butterworth
• Patrick Byers Smith

• Professional Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.