MISS ALYSSA MICHELLE HENDERSON M.A., LPC
NPI 1770306078
Counselor - Professional in Richardson, TX

Active since November 05, 2024Opted out of Medicare · through Nov 25, 2026
2150 LAKESIDE BLVD STE 100, RICHARDSON, TX 75082(972) 437-4698(972) 669-8816 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Miss Alyssa Michelle Henderson M.a., Lpc NPPES

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

MISS ALYSSA MICHELLE HENDERSON M.A., LPC (NPI 1770306078) is an individual professional provider in Richardson, Texas, licensed in Texas (91062) and active in the NPI registry since November 2024. She has opted out of Medicare through November 25, 2026.

NPPES Registry Identity

NPI1770306078
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS ALYSSA MICHELLE HENDERSONCredential: M.A., LPC
Location Address2150 LAKESIDE BLVD STE 100Richardson, TX 75082-4467
Mailing Address2150 Lakeside Blvd Ste 100Richardson, TX 75082-4467 · (972) 437-4698 · Fax (972) 669-8816
Fax(972) 669-8816
Sole ProprietorNo
Enumeration DateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1770306078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 91062
2150 LAKESIDE BLVD STE 100, Richardson, TX 75082

Other Names 1

Other Name (5)Mrs. Alyssa Michelle Durham Ma, Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Miss Alyssa Michelle Henderson M.a., Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 25, 2024 through November 25, 2026.

Opt-Out Effective DateNovember 25, 2024
Opt-Out In Effect ThroughNovember 25, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Counselor (School)
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082
Counselor (Mental Health)
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082
Counselor (Mental Health)
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082
Counselor (Professional)
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082
Psychologist (Clinical)
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082
Counselor (Professional)
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082
Counselor (Professional)
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082
Counselor (Mental Health)
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082

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 Alyssa Henderson's NPI number?

The NPI number for Alyssa Henderson is 1770306078. It was assigned to this individual provider in the NPPES registry on November 5, 2024. The provider is also known as Mrs. Alyssa Michelle Durham Ma, Lpc.

Where is Alyssa Henderson located?

Alyssa Henderson practices at 2150 Lakeside Blvd Ste 100, Richardson, TX 75082. The listed phone number is (972) 437-4698.

What is Alyssa Henderson's specialty?

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

Is Alyssa Henderson enrolled in Medicare?

No. Alyssa Henderson has opted out of Medicare through November 25, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Alyssa Henderson accept?

Health plans from Blue Cross and Blue Shield of Texas list Alyssa Henderson 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 Alyssa Henderson was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.