DR. ALYSSA JANE BANFORD WITTING PHD, LMFT
NPI 1891207643
Counselor - Mental Health in Provo, UT

Active since November 02, 2017Opted out of Medicare · through Jan 29, 2028

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Alyssa Jane Banford Witting Phd, Lmft NPPES

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

DR. ALYSSA JANE BANFORD WITTING PHD, LMFT (NPI 1891207643) is an individual mental health provider in Provo, Utah, licensed in Utah (8880108-3902) and active in the NPI registry since November 2017. She has opted out of Medicare through January 29, 2028.

NPPES Registry Identity

NPI1891207643
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. ALYSSA JANE BANFORD WITTINGCredential: PHD, LMFT
Location Address1190 N 900 EProvo, UT 84604-3536
Mailing Address1190 N 900 EProvo, UT 84604-3536 · (801) 422-6767
Sole ProprietorYes
Enumeration DateNovember 2, 2017
NPI 1891207643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in UT · 8880108-3902
1190 N 900 E, Provo, UT 84604

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Alyssa Jane Banford Witting Phd, Lmft 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 January 29, 2024 through January 29, 2028.

Opt-Out Effective DateJanuary 29, 2024
Opt-Out In Effect ThroughJanuary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Professional)
1190 N 900 E
PROVO, UT 84604
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604
Psychologist (Clinical)
1190 N 900 E
PROVO, UT 84604
Social Worker (Clinical)
1190 N 900 E
PROVO, UT 84604
Clinic/Center (Hearing and Speech)
1190 N 900 E
PROVO, UT 84604
Marriage & Family Therapist
1190 N 900 E, 274 TLRB- BYU
PROVO, UT 84604
Counselor (Professional)
1190 N 900 E
PROVO, UT 84604
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604

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 Witting's NPI number?

The NPI number for Alyssa Witting is 1891207643. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Where is Alyssa Witting located?

Alyssa Witting practices at 1190 N 900 E, Provo, UT 84604. The listed phone number is (801) 422-6767.

What is Alyssa Witting's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alyssa Witting enrolled in Medicare?

No. Alyssa Witting has opted out of Medicare through January 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alyssa Witting was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.