Desiree Niederer, LPC | |
17105 Park Place St, Eagle River, AK 99577-7821 | |
(907) 622-1002 | |
(907) 622-8808 |
Full Name | Desiree Niederer |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 17105 Park Place St, Eagle River, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164817169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 790 (Alaska) | Primary |
Entity Name | Counseling Solutions Of Alaska Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477682623 PECOS PAC ID: 6901160027 Enrollment ID: O20240220001553 |
Mailing Address | Practice Location Address |
---|---|
Desiree Niederer, LPC 17105 Park Place St, Eagle River, AK 99577-7821 Ph: (907) 622-1002 | Desiree Niederer, LPC 17105 Park Place St, Eagle River, AK 99577-7821 Ph: (907) 622-1002 |
Ashley Klinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Austin Didrickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Mr. Sammie O'neal Iii, MA, CDC1 Counselor Medicare: Medicare Enrolled Practice Location: 12518 Crested Butte Dr, Eagle River, AK 99577 Phone: 907-406-3033 | |
Gina Thara Wall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17601 James Way, Eagle River, AK 99577 Phone: 907-854-2344 | |
Robin Forman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Kristin Stadsklev, CDC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Adam Abdallah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-8840 |