ALYSSA MARY NYBERG MPS LPCC LADC NPI 1689201352

NPI Information

NPI: 1689201352
Provider Name: ALYSSA MARY NYBERG, MPS, LPCC, LADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2960 WINNETKA AVE N STE 1010
MINNEAPOLIS, MN
ZIP 55427
Phone: (763) 541-4993
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Alyssa Mary Nyberg, MPS, LPCC, LADC is a professional counselor in Minneapolis, MN. Alyssa Mary Nyberg, MPS, LPCC, LADC NPI is 1689201352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2960 WINNETKA AVE N STE 1010
MINNEAPOLIS, MN
ZIP 55427-853
Phone: (763) 541-4993
Fax: (763) 541-5324

The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	303833	MINNESOTA	No
2	101YP2500X	Counselor	Professional	CC01716	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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