ALYSSA NICOLE OTTEN NPI 1962911230

NPI Information

  • NPI: 1962911230
  • Provider Name: ALYSSA NICOLE OTTEN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 17160 130TH AVE
    NUNICA, MI
    ZIP 49448
  • Phone: (616) 847-4460

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NPI Details

Alyssa Nicole Otten is a mental health counselor in Nunica, MI. Alyssa Nicole Otten NPI is 1962911230. 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:

17160 130TH AVE
NUNICA, MI
ZIP 49448-450
Phone: (616) 847-4460

The enumeration date for this NPI number is 9/29/2017 and was last updated on 10/1/2025.

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
1101YM0800XCounselorMental HealthYes
2104100000XSocial Worker6803087239MICHIGANNo
3101Y00000XCounselorNo
4171M00000XCase Manager/Care CoordinatorNo

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

NPI Synchronization or Removal

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