ALYSSA CATHERINE WENTWORTH M.S., LPC
NPI 1023879996
Counselor - Professional in Elk River, MN

Active since January 18, 2024PECOS Enrolled
18336 JOPLIN ST NW, ELK RIVER, MN 55330(763) 350-9687 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alyssa Catherine Wentworth M.s., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA CATHERINE WENTWORTH M.S., LPC (NPI 1023879996) is an individual professional provider in Elk River, Minnesota, licensed in Minnesota (2924) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023879996
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALYSSA CATHERINE WENTWORTHCredential: M.S., LPC
Location Address18336 JOPLIN ST NWElk River, MN 55330-1773
Mailing Address15191 Blakeley TrlBelle Plaine, MN 56011-9036
Sole ProprietorNo
Enumeration DateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
NPI 1023879996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 2924
18336 JOPLIN ST NW, Elk River, MN 55330

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alyssa Catherine Wentworth M.s., Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
18336 JOPLIN ST NW
ELK RIVER, MN 55330
Chiropractor
18336 JOPLIN ST NW
ELK RIVER, MN 55330
Chiropractor
18336 JOPLIN ST NW
ELK RIVER, MN 55330
Chiropractor
18336 JOPLIN ST NW
ELK RIVER, MN 55330
Chiropractor
18336 JOPLIN ST NW
ELK RIVER, MN 55330
Clinic/Center
18336 JOPLIN ST NW
ELK RIVER, MN 55330
Marriage & Family Therapist
18336 JOPLIN ST NW
ELK RIVER, MN 55330
Chiropractor
18336 JOPLIN ST NW
ELK RIVER, MN 55330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Wentworth's NPI number?

The NPI number for Alyssa Wentworth is 1023879996. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Where is Alyssa Wentworth located?

Alyssa Wentworth practices at 18336 Joplin St NW, Elk River, MN 55330. The listed phone number is (763) 350-9687.

What is Alyssa Wentworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alyssa Wentworth enrolled in Medicare?

Yes. Alyssa Wentworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Wentworth was last updated on January 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.