Healthcare Provider Details

I. General information

NPI: 1689147563
Provider Name (Legal Business Name): ALYSSA RANSON LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2019
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 M ST
GREELEY CO
80631-9586
US

IV. Provider business mailing address

375 E HORSETOOTH RD
FORT COLLINS CO
80525-3155
US

V. Phone/Fax

Practice location:
  • Phone: 970-347-2120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0018065
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001879
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: