Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alissa Blake Walruth, LMHC-D

Individual provider Mental Health Counselor · NPI 1629758404

Alissa Blake Walruth, LMHC-D is a Mental Health Counselor in Penn Yan, New York. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3 School Dr
Penn Yan, NY 14527-1081
Phone: (315) 924-6050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 280 Princeton Avenue Ext, Corning, NY 14830-1524 — (607) 962-3146

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 013651 (NY)
School Counselor Taxonomy 101YS0200X · Licence 1578785221 (NY)

Record details

NPI number1629758404
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC-D
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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