ALYSSA ROSS (NPI# 1144783762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144783762 |
| Entity Type | Individual |
| Full Name | ALYSSA ROSS |
| Practice Address |
310 E Torrance Ave Pontiac IL 61764-2748 |
| Mailing Address |
Po Box 78 Pontiac IL 61764-0078 |
| Practice Telephone | 8158446109 |
| Practice Fax Number | 8158443561 |
| Mailing Telephone | 8158446109 |
| Mailing Fax Number | 8158443561 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201521 | Alyssa Rylee Ross | Behavior Technician | 8801 Folsom Blvd Ste 195, Sacramento, CA 95826-3231 | 2020-10-06 |
| Street Address |
310 E TORRANCE AVE |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239674 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2006-03-20 |
| 1518574938 | Sydni Lee Neal | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1558978965 | Kimberly Ezzo | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1376152975 | Sarah E Vitzthum | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-07-29 |
| 1063054724 | Rachel Boros | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1417599176 | Kelsey Ann Anello | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1972150456 | Allison Hart | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-08-20 |
| 1477106003 | Kevin Steidinger | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-07-23 |
| 1386107902 | Alexandra Kingma | Social Worker | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1174086797 | Jaycee Leonard | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689868 | Karen Bennett | Counselor | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 | 2017-03-02 |
| 1518574938 | Sydni Lee Neal | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1558978965 | Kimberly Ezzo | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1972150456 | Allison Hart | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-08-20 |
| 1174086797 | Jaycee Leonard | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1164920013 | Rosa Quellhorst | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2018-01-25 |
| 1275935280 | Kristen Phillips | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2014-09-22 |
| 1205262920 | Angela Villet | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2013-09-26 |
| 1952744187 | Jessica Stone | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2013-04-08 |
| 1679844237 | Brenton Place | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2012-01-13 |
| Find all providers in PONTIAC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.