ALYSE JEANNE LAVERNE LMFT
NPI 1336762376
Marriage & Family Therapist in Fortuna, CA

Q: 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.

Q: What is Alyse Laverne's specialty?

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

Q: 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 18 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.

Active since May 26, 2020PECOS EnrolledAccepts Medicare Assignment

3429 RENNER DR, FORTUNA, CA 95540(707) 617-0323 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Dec 17, 2024, May 26, 2020 (3 updates tracked since 2020).

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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

NPI1336762376

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameALYSE JEANNE LAVERNECredential: LMFT

Location Address3429 RENNER DRFortuna, CA 95540-3104

Mailing AddressPo Box 282Fortuna, CA 95540-0282 · (707) 826-1086

Phone(707) 617-0323

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 26, 2020

Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1336762376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · AMFT114196

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.

3429 RENNER DR, Fortuna, CA 95540

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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID4688026750

PECOS Enrollment IDI20240115001148

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 13

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

HUMBOLDT NEUROHEALTH THERAPEUTIC SERVICES

Case Manager/Care Coordinator