MISS ALYSSA MICHELLE HENDERSON M.A., LPC
NPI 1770306078
Counselor - Professional in Richardson, TX
NPI Status: Active since November 05, 2024
Contact Information
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX
ZIP 75082
Phone: (972) 437-4698
Fax: (972) 669-8816
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About ALYSSA HENDERSON
This page provides the complete NPI Profile along with additional information for Alyssa Henderson, a provider established in Richardson, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1770306078 assigned on November 2024. The practitioner's primary taxonomy code is 101YP2500X with license number 91062 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1770306078
- Provider Name
- MISS ALYSSA MICHELLE HENDERSON M.A., LPC
- Other Name
- MRS. ALYSSA MICHELLE DURHAM MA, LPC
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082
- Location Phone
- (972) 437-4698
- Location Fax
- (972) 669-8816
- Mailing Address
- 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082
- Mailing Phone
- (972) 437-4698
- Mailing Fax
- (972) 669-8816
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-05-2024
- Last Update Date
- 11-05-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Alyssa Henderson opted out of Medicare effective on 11-25-2024 until 11-25-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 91062
- License State
- TX
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-25-2024
Opt-Out End Date: 11-25-2026
Eligible to Order and Refer? No
Reviews for MISS ALYSSA MICHELLE HENDERSON M.A., LPC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 3 | 0 | 6 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 6 | 0 | 12 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 6 + 0 + 1 + 2 + 0 + 1 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1770306078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427423540 | TAMATHA BLODGETT LPC Individual | Counselor (Mental Health) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1326477332 | MELISSA HENDERSON LPC Individual | Counselor (Professional) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1386110278 | KAREN D KORNELSEN LPC INTERN Individual | Counselor (Mental Health) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (888) 725-4642 |
| 1730726696 | DONA RIBIN NGUYEN LPC Individual | Counselor (Professional) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1508406976 | MS. ELIZABETH BOYD LPC Individual | Counselor (Professional) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1720684962 | KENDRA ELAINE DAILEY LPC Individual | Counselor (Professional) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1386364180 | AUDREY DUGGER LPC Individual | Counselor (Professional) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1760191167 | HANNAH ELIZABETH MARIE PARKS LPC Individual | Counselor (Professional) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1881308351 | MICHAELA SHEETS NEFF LPC Individual | Counselor (Professional) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1184466674 | MR. VIKHANA MCMANUS Individual | Counselor (School) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1548746753 | DR. REVIS ANN MASSEY PSYD Individual | Psychologist (Clinical) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (786) 543-2428 |
| 1821806688 | MIRANDA CLAIRE JONES LPC Individual | Counselor (Mental Health) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
| 1396136693 | GRANT LANDON DAVIS APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2150 LAKESIDE BLVD STE 100 RICHARDSON, TX 75082 (972) 437-4698 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770306078, enumerated in the NPI registry as an "individual" on November 05, 2024
The provider is located at 2150 Lakeside Blvd Ste 100 Richardson, Tx 75082 and the phone number is (972) 437-4698
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
No, the provider signed an affidavit on November 25, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 25, 2026.
This NPI record was last updated on November 05, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.