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ALYSSA WENNERBERG
NPI 1811414857
Counselor - Professional in Moorhead, MN

Active since August 29, 2017PECOS Enrolled
819 30TH AVE S STE 103D, MOORHEAD, MN 56560(701) 428-2327 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 8, 2024, Jul 21, 2022, Feb 17, 2020 and 1 more (4 updates tracked since 2017).

About Alyssa Wennerberg NPPES

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

ALYSSA WENNERBERG (NPI 1811414857) is an individual professional provider in Moorhead, Minnesota, licensed in North Dakota (912-8-1-17-360) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1811414857
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALYSSA WENNERBERG
Location Address819 30TH AVE S STE 103DMoorhead, MN 56560-5000
Mailing Address819 30th Ave S Ste 103dMoorhead, MN 56560-5000 · (701) 428-2327
Phone(701) 428-2327
Sole ProprietorNo
Enumeration DateAugust 29, 2017
Last NPPES UpdateNovember 26, 20244 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1811414857 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 ND · 912-8-1-17-360✔ Licensed in ND · 912-8-1-17A
819 30TH AVE S STE 103D, Moorhead, MN 56560
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Secondary Practice Location 1

Location 11201 25th St SFargo, ND 58103-2311 · Phone (701) 451-4900 · Fax (651) 925-0057

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 2

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

CONNECTED COUNSELING PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
819 30TH AVE S STE 103D
MOORHEAD, MN 56560
Clay County (218) 203-9560
AUTHENTIC YOU
Counselor (Mental Health)
819 30TH AVE S STE 103D
MOORHEAD, MN 56560
Clay County (701) 428-2327

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 Wennerberg's NPI number?

The NPI number for Alyssa Wennerberg is 1811414857. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Alyssa Wennerberg located?

Alyssa Wennerberg practices at 819 30th Ave S Ste 103D, Moorhead, MN 56560. The listed phone number is (701) 428-2327.

What is Alyssa Wennerberg's specialty?

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

Is Alyssa Wennerberg enrolled in Medicare?

Yes. Alyssa Wennerberg is registered in the Medicare PECOS enrollment system.

What insurance does Alyssa Wennerberg accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Alyssa Wennerberg 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 Wennerberg was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.