ALISSA NORTHRUP (NPI# 1982052445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982052445 |
| Entity Type | Individual |
| Full Name | ALISSA NORTHRUP |
| Credential | LAPC |
| Practice Address |
250 North Ave Athens GA 30601-2244 |
| Practice Telephone | 7063896789 |
| Practice Fax Number | 7062277249 |
| Mailing Telephone | 7063896789 |
| Mailing Fax Number | 7062277249 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
APC003877 | GA | Ambulatory Health Care Facilities |
| Street Address |
250 NORTH AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942270558 | Advantage Behavioral Health Systems | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-01-25 |
| 1396367181 | Tracie Rene Tomas | Counselor | 250 North Ave, Athens, GA 30601-2244 | 2020-05-14 |
| 1043832298 | Kathryn Taylor Ashmore | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2020-05-11 |
| 1093335853 | Obianuju Okpala | Nurse Practitioner | 250 North Ave, Athens, GA 30601-2244 | 2020-04-22 |
| 1427694116 | Diane M Hodge | Counselor | 250 North Ave, Athens, GA 30601-2244 | 2019-11-18 |
| 1265092191 | Margaret Molony | Behavioral Analyst | 250 North Ave, Athens, GA 30601-2244 | 2019-06-13 |
| 1407414394 | Brier Wagoner-mccann | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2019-06-05 |
| 1225596802 | Erin Ray | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2019-03-04 |
| 1720583529 | Jessica Wiggs | Counselor | 250 North Ave, Athens, GA 30601 | 2018-03-26 |
| 1164920716 | Ebot B Manga | Nurse Practitioner | 250 North Ave, Athens, GA 30601-2244 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154841989 | Advantage Behavioral Health Systems | Clinic/Center | 130 Mill Center Blvd, Athens, GA 30606 | 2017-06-22 |
| 1912072372 | Advantage Bhs | Clinic/Center | 115 Berlin St, Athens, GA 30601-2267 | 2006-11-21 |
| 1154357721 | The Edna Brooks Foundation, Inc. | Clinic/Center | 142 E State St, Athens, OH 45701-1746 | 2006-06-24 |
| 1417560335 | Chrysalis Health and Wellness | Clinic/Center | 1005 E State St Ste E, Athens, OH 45701-2151 | 2020-08-29 |
| 1588287213 | Jennifer Boone, Lcsw LLC | Clinic/Center | 1 Huntington Rd Ste 703, Athens, GA 30606-7214 | 2020-05-28 |
| 1215585344 | Bright Awakenings Counseling, LLC | Clinic/Center | 1 Huntington Rd Ste 101, Athens, GA 30606-7205 | 2019-09-02 |
| 1619440351 | Love Without Walls Adult Care | Clinic/Center | 111 Park St, Athens, TN 37303-4255 | 2019-01-05 |
| 1356840250 | Leslie Holliday Ring, LLC | Clinic/Center | 337 S Milledge Ave Ste 210, Athens, GA 30605-5664 | 2018-02-06 |
| 1114439239 | Hopewell Health Centers Inc | Clinic/Center | 141 Columbus Rd, Athens, OH 45701-1315 | 2017-10-30 |
| 1225579758 | Advantage Behavioral Health Systems | Clinic/Center | 240 Mitchell Bridge Rd, Athens, GA 30606 | 2017-03-16 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on ALISSA NORTHRUP.
| 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.