ALYSE JEANNE LAVERNE LMFT
NPI 1336762376
Marriage & Family Therapist in Fortuna, CA
About Alyse Jeanne Laverne Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSE JEANNE LAVERNE LMFT (NPI 1336762376) is an individual marriage & family therapist in Fortuna, California, licensed in California (AMFT114196) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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 and accepts Medicare assignment
Alyse Jeanne Laverne Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Alyse Laverne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fortuna, CA 95540
- Reassigned Medicare billing, California enrollment
- 11 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORTUNA, CA 95540
FORTUNA, CA 95540
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 Alyse Laverne's NPI number?
The NPI number for Alyse Laverne is 1336762376. It was assigned to this individual provider in the NPPES registry on May 26, 2020.
Where is Alyse Laverne located?
Alyse Laverne practices at 3429 Renner Dr, Fortuna, CA 95540. The listed phone number is (707) 617-0323.
What is Alyse Laverne's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Alyse Laverne enrolled in Medicare?
Yes. Alyse Laverne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Alyse Laverne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyse Laverne reassigns Medicare benefits to Humboldt Neurohealth Therapeutic Services (Fortuna, CA). 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 Alyse Laverne'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 Alyse Laverne was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Alyse Jeanne Laverne, LMFT · NPI 1336762376
Marriage & Family Therapist provider in Fortuna, California. Individual provider, active in the CMS NPPES registry since May 26, 2020.
## Identity
- **NPI:** 1336762376 (Entity type: Individual)
- **Enumerated:** May 26, 2020
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** AMFT114196 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3429 RENNER DR, Fortuna, CA 95540-3104
- **Phone:** (707) 617-0323
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Humboldt Neurohealth Therapeutic Services (NPI 1710459292, Fortuna, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336762376) · Data from the CMS NPPES public registry.