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ALISSA BLAKE WALRUTH LMHC-D
NPI 1629758404
Counselor - Mental Health in Penn Yan, NY

Active since July 18, 2023PECOS Enrolled
3 SCHOOL DR, PENN YAN, NY 14527(315) 924-6050 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Jul 18, 2023 (2 updates tracked since 2023).

About Alissa Blake Walruth Lmhc-d NPPES

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

ALISSA BLAKE WALRUTH LMHC-D (NPI 1629758404) is an individual mental health provider in Penn Yan, New York, licensed in New York (013651) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corning, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629758404
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALISSA BLAKE WALRUTHCredential: LMHC-D
Location Address3 SCHOOL DRPenn Yan, NY 14527-1081
Mailing Address601b W Washington StGeneva, NY 14456-2119 · (315) 787-8151
Phone(315) 924-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 18, 2023
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1629758404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 013651
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 1578785221 (NY)
3 SCHOOL DR, Penn Yan, NY 14527
Open in Google Maps ↗

Secondary Practice Location 1

Location 1280 Princeton Avenue ExtCorning, NY 14830-1524 · Phone (607) 962-3146

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Blake Walruth Lmhc-d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193219251
PECOS Enrollment IDI20251216001941
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.

Medicare Billing Reassignment

Medicare enrollment records show Alissa Walruth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Finger Lakes Community Health
0.9 mi
Federally Qualified Health Center (FQHC)
112 KIMBALL AVE
Penn Yan, NY 14527
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
NPI 1649519273 (315) 531-9102

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 12

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

REBECCA MARTIN NP
Nurse Practitioner (Family)
3 SCHOOL DR
PENN YAN, NY 14527
Yates County (315) 924-6050
SAMANTHA SCIOLINO
Early Intervention Provider Agency
3 SCHOOL DR
PENN YAN, NY 14527
Yates County (315) 536-3346
MRS. NORA STICHT MORGAN OTR
Occupational Therapist (Pediatrics)
3 SCHOOL DR
PENN YAN, NY 14527
Yates County (315) 536-3376
TABITHA RUSHMORE
Specialist
3 SCHOOL DR
PENN YAN, NY 14527
Yates County (315) 279-1288
STEPHANIE ELEANOR BRENTNALL OTR
Occupational Therapist
3 SCHOOL DR
PENN YAN, NY 14527
Yates County (315) 536-3346
SUSAN PALLAR
Registered Nurse (School)
3 SCHOOL DR
PENN YAN, NY 14527
Yates County (315) 536-3346
FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3 SCHOOL DR
PENN YAN, NY 14527
Yates County (315) 924-6050
MS. DARLENE D BREZINSKY NP
Nurse Practitioner (Women's Health)
3 SCHOOL DR
PENN YAN, NY 14527
Yates County (315) 924-6050

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 Alissa Walruth's NPI number?

The NPI number for Alissa Walruth is 1629758404. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Alissa Walruth located?

Alissa Walruth practices at 3 School Dr, Penn Yan, NY 14527. The listed phone number is (315) 924-6050.

What is Alissa Walruth's specialty?

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

Is Alissa Walruth enrolled in Medicare?

Yes. Alissa Walruth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alissa Walruth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Walruth reassigns Medicare benefits to Finger Lakes Community Health (Penn Yan, NY). 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 Alissa Walruth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alissa Walruth accept?

Health plans from Oscar Health list Alissa Walruth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alissa Walruth was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.