IndividualActive
Alyssa Wennerberg
NPI 1811414857 · Professional Counselor · Moorhead, MN
Provider details
- NPI number
- 1811414857
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 912-8-1-17-360 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
819 30th Ave S Ste 103d
Moorhead, MN 56560-5000
Phone: (701) 428-2327
Street-level locationGet directions
Mailing address
819 30th Ave S Ste 103d
Moorhead, MN 56560-5000
Additional practice locations (1)
- 1201 25th St SFargo, ND 58103-2311Phone: (701) 451-4900Fax: (651) 925-0057
Registry dates
- Enumerated
- 2017-08-29
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.