MRS. ALYSSA KAY FRUCHTENICHT LMSW
NPI 1639511710
Social Worker - Clinical in Waterloo, IA

Q: What is Alyssa Fruchtenicht's NPI number?

The NPI number for Alyssa Fruchtenicht is 1639511710. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Q: What is Alyssa Fruchtenicht's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since July 18, 2013PECOS EnrolledAccepts Medicare Assignment

3251 W 9TH ST, WATERLOO, IA 50702(319) 234-2893(319) 234-0354 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Alyssa Kay Fruchtenicht Lmsw NPPES

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

MRS. ALYSSA KAY FRUCHTENICHT LMSW (NPI 1639511710) is an individual clinical provider in Waterloo, Iowa, licensed in Iowa (008166) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639511710

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. ALYSSA KAY FRUCHTENICHTCredential: LMSW

Location Address3251 W 9TH STWaterloo, IA 50702-5310

Mailing Address3251 W 9th StWaterloo, IA 50702-5310 · (319) 234-2893 · Fax (319) 234-0354

Phone(319) 234-2893

Fax(319) 234-0354

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 18, 2013

✔ NPI 1639511710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IA · 008166

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3251 W 9TH ST, Waterloo, IA 50702

Open in Google Maps ↗

Other Identifiers 1

Medicaid0074435IA

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

Mrs. Alyssa Kay Fruchtenicht Lmsw 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 ID5799034013

PECOS Enrollment IDI20180821000323

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 Alyssa Fruchtenicht reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Black Hawk-Grundy Mental Health Center Inc.

0.1 mi

Mental Health (Including Community Mental Health Center)

3251 W 9TH ST
Waterloo, IA 50702

Reassigned Medicare billing, Iowa enrollment
28 clinicians in this Medicare group

NPI 1316944598 (319) 234-2893

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.96 – $161.40

Typical copayment $0.00 (range $13.24 – $40.35)

Most-billed visit code NA

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. BROOKE HOLMES RN

Registered Nurse (Psychiatric/Mental Health)