ALYSHA KVAM
NPI 1033849591
Counselor - Mental Health in Maple Grove, MN
About Alysha Kvam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSHA KVAM (NPI 1033849591) is an individual mental health provider in Maple Grove, Minnesota and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alysha Kvam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alysha Kvam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAPLE GROVE, MN 55369
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 Alysha Kvam's NPI number?
The NPI number for Alysha Kvam is 1033849591. It was assigned to this individual provider in the NPPES registry on June 15, 2022.
Where is Alysha Kvam located?
Alysha Kvam practices at 12918 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (763) 210-9966.
What is Alysha Kvam's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Alysha Kvam enrolled in Medicare?
Yes. Alysha Kvam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alysha Kvam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alysha Kvam reassigns Medicare benefits to Collaborative Counseling LLC (Maple Grove, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alysha Kvam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alysha Kvam was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alysha Kvam · NPI 1033849591
Mental Health provider in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since June 15, 2022.
## Identity
- **NPI:** 1033849591 (Entity type: Individual)
- **Enumerated:** June 15, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 12918 63RD AVE N, Maple Grove, MN 55369-6001
- **Phone:** (763) 210-9966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Collaborative Counseling LLC (NPI 1598034324, Maple Grove, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1033849591) · Data from the CMS NPPES public registry.