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ALYSA KIPERSZTOK
NPI 1649880568
Social Worker - Clinical in Longmont, CO

Active since August 05, 2020PECOS Enrolled
529 COFFMAN ST, LONGMONT, CO 80501(303) 443-8500 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2026, Aug 5, 2020 (2 updates tracked since 2020).

About Alysa Kipersztok NPPES

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

ALYSA KIPERSZTOK (NPI 1649880568) is an individual clinical provider in Longmont, Colorado, licensed in Colorado (CSW.09929903) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boulder, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649880568
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALYSA KIPERSZTOK
Location Address529 COFFMAN STLongmont, CO 80501-5450
Mailing Address1842 Spruce AveLongmont, CO 80501-4764
Phone(303) 443-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 5, 2020
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1649880568 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 CO · CSW.09929903
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.
529 COFFMAN ST, Longmont, CO 80501
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Secondary Practice Location 1

Location 11755 48th St Ste 200TBoulder, CO 80301-2711 · Phone (303) 415-4299

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alysa Kipersztok is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204307614
PECOS Enrollment IDI20260607000121
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 Alysa Kipersztok reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boulder Community Health
2.2 mi
Primary Care
2101 KEN PRATT BLVD STE 104G
Longmont, CO 80501
  • Reassigned Medicare billing, Colorado enrollment
  • 283 clinicians in this Medicare group
NPI 1073393807 (303) 415-4246

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 80501 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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. CYNTHIA PILLMORE M.A., CACIII
Counselor (Addiction (Substance Use Disorder))
529 COFFMAN ST
LONGMONT, CO 80501
Boulder County (303) 245-6792
CATHRINA CARTELLI
Registered Nurse (Community Health)
529 COFFMAN ST
LONGMONT, CO 80501
Boulder County (303) 409-0136
MRS. RHONDA RACICOT LCSW
Social Worker (Clinical)
529 COFFMAN ST, SUITE #300
LONGMONT, CO 80501
Boulder County (303) 245-4450
MS. STEPHANIE TREUBIG
Counselor (Mental Health)
529 COFFMAN ST
LONGMONT, CO 80501
Boulder County (303) 443-8500
MS. LYNN MARLOW M.A.
Counselor (Mental Health)
529 COFFMAN ST
LONGMONT, CO 80501
Boulder County (303) 684-0555
PETER SHARPE LPC
Counselor (Professional)
529 COFFMAN ST, SUITE 300
LONGMONT, CO 80501
Boulder County (303) 245-4425
MS. JULIE HELEN ACKERMAN RN
Registered Nurse
529 COFFMAN ST
LONGMONT, CO 80501
Boulder County (303) 678-6166
DR. ROBERT GEORGE RUEGG JR. MD
Psychiatry & Neurology (Psychiatry)
529 COFFMAN ST, #300
LONGMONT, CO 80501
Boulder County (303) 684-0555

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 Alysa Kipersztok's NPI number?

The NPI number for Alysa Kipersztok is 1649880568. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Alysa Kipersztok located?

Alysa Kipersztok practices at 529 Coffman St, Longmont, CO 80501. The listed phone number is (303) 443-8500.

What is Alysa Kipersztok's specialty?

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

Is Alysa Kipersztok enrolled in Medicare?

Yes. Alysa Kipersztok is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alysa Kipersztok's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alysa Kipersztok reassigns Medicare benefits to Boulder Community Health (Longmont, CO). 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 Alysa Kipersztok'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 Alysa Kipersztok was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.