ALYSSA MARY NYBERG (NPI# 1689201352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689201352 |
| Entity Type | Individual |
| Full Name | ALYSSA MARY NYBERG |
| Credential | MPS, LPCC, LADC |
| Practice Address |
2960 Winnetka Ave N Ste 1010 Minneapolis MN 55427-2853 |
| Practice Telephone | 7635414993 |
| Practice Fax Number | 7635415324 |
| Mailing Telephone | 7635414993 |
| Mailing Fax Number | 7635415324 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303833 | MN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01716 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2960 WINNETKA AVE N STE 1010 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55427-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1508477514 | Great Lakes Arms Program | Counselor | 2917 15th Ave S, Minneapolis, MN 55407-1427 | 2020-08-12 |
| 1467077073 | Mandy Don Schloesser | Counselor | 2755 Grand St Ne, Minneapolis, MN 55418-2611 | 2020-06-09 |
| 1275156473 | Megan Rose Relson | Counselor | 3111 Mckinley St Ne, Minneapolis, MN 55418-2333 | 2020-05-21 |
| 1699307967 | Minneapolis Autism Center Corp | Counselor | 621 E 38th St, Minneapolis, MN 55407-2571 | 2020-02-05 |
| 1366083438 | John Arthur Flannagan | Counselor | 4037 13th Ave S, Minneapolis, MN 55407-3243 | 2019-09-30 |
| 1790331262 | Heather O'brien | Counselor | 2200 E Franklin Ave Ste 200, Minneapolis, MN 55404-2395 | 2019-08-12 |
| 1023679750 | Sarah Haag | Counselor | 800 E 28th St Wasie, Minneapolis, MN 55407-3723 | 2019-06-24 |
| 1447721634 | Patricia Marie Reinecke Lebedeva | Counselor | 2021 E Hennepin Ave Ste 330, Minneapolis, MN 55413-1798 | 2018-12-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55427 |
Please comment or provide details below to improve the information on ALYSSA MARY NYBERG.
| 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.