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ALYSSA WALDMER LAC, MFT
NPI 1184093742
Marriage & Family Therapist in Fort Collins, CO

Active since September 24, 2015Opted out of Medicare · through Jul 1, 2028
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(970) 613-4475 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 25, 2024, Aug 21, 2023, Aug 24, 2020 and 1 more (4 updates tracked since 2016).

About Alyssa Waldmer Lac, Mft NPPES

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

ALYSSA WALDMER LAC, MFT (NPI 1184093742) is an individual marriage & family therapist in Fort Collins, Colorado, licensed in Colorado (MFT.0002489) and active in the NPI registry since September 2015. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1184093742
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameALYSSA WALDMERCredential: LAC, MFT
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (970) 613-4475
Phone(970) 494-4200
Fax(970) 613-4475
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1184093742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CO · MFT.0002489
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0000816 (CO)
4856 INNOVATION DR, Fort Collins, CO 80525
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Other Names 1

Former Name (1)Alyssa Morrissette Lac, Mftc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alyssa Waldmer Lac, Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

KOKI ADACHI BA
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
DR. JOSEPH MESSER PHARMD
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ANDREA STRAYER LCSW, CAC II, MSW
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
AMANDA MURRY M.ED.
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
LIZBETT GARCIA
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MORGAN RICE CAT
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ELISSA STILWELL
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
EMILY LAU
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200

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 Waldmer's NPI number?

The NPI number for Alyssa Waldmer is 1184093742. It was assigned to this individual provider in the NPPES registry on September 24, 2015. The provider is also known as Alyssa Morrissette Lac, Mftc.

Where is Alyssa Waldmer located?

Alyssa Waldmer practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Alyssa Waldmer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Alyssa Waldmer enrolled in Medicare?

No. Alyssa Waldmer has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alyssa Waldmer was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.