ALYSSA WENNERBERG NPI 1811414857

NPI Information

  • NPI: 1811414857
  • Provider Name: ALYSSA WENNERBERG
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 819 30TH AVE S STE 103D
    MOORHEAD, MN
    ZIP 56560
  • Phone: (701) 428-2327

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NPI Details

Alyssa Wennerberg is a professional counselor in Moorhead, MN. Alyssa Wennerberg NPI is 1811414857. 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:

819 30TH AVE S STE 103D
MOORHEAD, MN
ZIP 56560-000
Phone: (701) 428-2327

The NPI 1811414857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/29/2017 and was last updated on 11/26/2024.

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
1101YP2500XCounselorProfessional912-8-1-17-360NORTH DAKOTAYes
2101YP2500XCounselorProfessional912-8-1-17ANORTH DAKOTANo

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: 11/21/2025

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