Individual provider Active NPI

Alyssa Collina, LPAT, ATR-BC

  • Art Therapist
  • Louisville, KY
National Provider Identifier
1982354007
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
264716 Issued in KY
Practice address
1169 Eastern Pkwy Ste 3360
Louisville, KY 40217-1415
Phone
(502) 767-0415
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 264716 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy Ste 3360
Louisville, KY 40217-1415

Mailing address

1169 Eastern Pkwy Ste 3360
Louisville, KY 40217-1415

Other practice location 1

8134 New La Grange Rd Ste 100
Louisville, KY 40222-4677
Phone (502) 472-7293

Other identifiers 1

IdentifierTypeStateIssuer
7100806790MedicaidKY

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Counseling and Consulting, LLC Art Therapist CurrentSince Nov 12, 2023 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3360
Louisville, KY 40217
Phone (502) 767-0415

8134 New La Grange Rd
Ste 100
Louisville, KY 40222
Phone (502) 767-0415

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1982354007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 3360",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 3360",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171415",
            "telephone_number": "502-767-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8134 New La Grange Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402224677",
            "country_code": "US",
            "telephone_number": "502-472-7293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINA",
        "first_name": "ALYSSA",
        "credential": "LPAT, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-11-08",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "264716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100806790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.