ALYSSA NAGLE LPC
NPI 1205308327
Counselor - Mental Health in Dunmore, PA

Active since December 31, 2018Opted out of Medicare · through Jul 20, 2028
1141 CLAY AVE STE 3, DUNMORE, PA 18510(570) 892-1236 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Dec 31, 2018 (2 updates tracked since 2018).

About Alyssa Nagle Lpc NPPES

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

ALYSSA NAGLE LPC (NPI 1205308327) is an individual mental health provider in Dunmore, Pennsylvania, licensed in Pennsylvania (PC009885) and active in the NPI registry since December 2018. She has opted out of Medicare through July 20, 2028.

NPPES Registry Identity

NPI1205308327
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALYSSA NAGLECredential: LPC
Location Address1141 CLAY AVE STE 3Dunmore, PA 18510-1191
Mailing Address1141 Clay Ave Ste 3Dunmore, PA 18510-1191 · (570) 892-1236
Sole ProprietorNo
Enumeration DateDecember 31, 2018
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1205308327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · PC009885
1141 CLAY AVE STE 3, Dunmore, PA 18510

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 Nagle Lpc 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 20, 2026 through July 20, 2028.

Opt-Out Effective DateJuly 20, 2026
Opt-Out In Effect ThroughJuly 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
1141 CLAY AVE STE 3
DUNMORE, PA 18510
Psychiatry & Neurology (Psychiatry)
1141 CLAY AVE STE 3
DUNMORE, PA 18510
Counselor (Mental Health)
1141 CLAY AVE STE 3
DUNMORE, PA 18510

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 Nagle's NPI number?

The NPI number for Alyssa Nagle is 1205308327. It was assigned to this individual provider in the NPPES registry on December 31, 2018.

Where is Alyssa Nagle located?

Alyssa Nagle practices at 1141 Clay Ave Ste 3, Dunmore, PA 18510. The listed phone number is (570) 892-1236.

What is Alyssa Nagle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alyssa Nagle enrolled in Medicare?

No. Alyssa Nagle has opted out of Medicare through July 20, 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 Nagle was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.