Healthcare Provider Details

I. General information

NPI: 1407750276
Provider Name (Legal Business Name): ALYSSA K FEIPEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 W MAIN ST STE C
MONROE WA
98272-2172
US

IV. Provider business mailing address

1225 183RD ST SE APT F207
BOTHELL WA
98012-7529
US

V. Phone/Fax

Practice location:
  • Phone: 206-552-0882
  • Fax:
Mailing address:
  • Phone: 928-642-2812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: