MISS ALYSSA JOANNE GONSHOROWSKI LPC
NPI 1649921784
Counselor - Professional in Evanston, WY

Q: What is Alyssa Gonshorowski's NPI number?

The NPI number for Alyssa Gonshorowski is 1649921784. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Q: What is Alyssa Gonshorowski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since January 11, 2022PECOS EnrolledAccepts Medicare Assignment

190 OVERTHRUST RD, EVANSTON, WY 82930(307) 789-4224(307) 789-4225 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Sep 27, 2022, Sep 21, 2022 and 2 more (5 updates tracked since 2022).

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About Miss Alyssa Joanne Gonshorowski Lpc NPPES

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

MISS ALYSSA JOANNE GONSHOROWSKI LPC (NPI 1649921784) is an individual professional provider in Evanston, Wyoming, licensed in Wyoming (LPC-1943) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649921784

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMISS ALYSSA JOANNE GONSHOROWSKICredential: LPC

Location Address190 OVERTHRUST RDEvanston, WY 82930

Mailing Address1248 E 17th StIdaho Falls, ID 83404-6147 · (208) 542-1026

Phone(307) 789-4224

Fax(307) 789-4225

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 11, 2022

Last NPPES UpdateNovember 3, 20225 updates tracked since enumeration

NPPES CertifiedNovember 3, 2022

✔ NPI 1649921784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in WY · LPC-1943✔ Licensed in NV · CP5164-R

190 OVERTHRUST RD, Evanston, WY 82930

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

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

Miss Alyssa Joanne Gonshorowski Lpc 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 ID6204378730

PECOS Enrollment IDI20240815002778

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 20

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

CARLY LATIMER

Counselor (Addiction (Substance Use Disorder))