| Counseling Collective Of Alaska Llc | |
|
3550 Airport Way Ste 4 Fairbanks AK 99709-4772 | |
| (907) 479-2331 | |
| (866) 834-0164 |
| Full Name | Counseling Collective Of Alaska Llc |
|---|---|
| Speciality | Counselor |
| Location | 3550 Airport Way Ste 4, Fairbanks, Alaska |
| Authorized Official Name and Position | Amanda Forsting (MEMBER) |
| Authorized Official Contact | 9706169950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Collective Of Alaska Llc 3550 Airport Way Ste 4 Fairbanks AK 99709-4772 Ph: (907) 479-2331 | Counseling Collective Of Alaska Llc 3550 Airport Way Ste 4 Fairbanks AK 99709-4772 Ph: (907) 479-2331 |
| NPI Number | 1649974999 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 3971943820 |
|---|---|
| Medicare Enrollment ID | O20240425003711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649974999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Olivia Gene Foote |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992248223 PECOS PAC ID: 8426498387 Enrollment ID: I20240429000772 |
| Provider Name | Emily Low |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326674706 PECOS PAC ID: 6608216551 Enrollment ID: I20240502000496 |
| Provider Name | Amanda Forsting |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568853661 PECOS PAC ID: 1153761010 Enrollment ID: I20240502000987 |
| Provider Name | Rose Elizabeth Elbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518239490 PECOS PAC ID: 9335589290 Enrollment ID: I20240502001102 |
| Provider Name | Adiella Callahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306390448 PECOS PAC ID: 7517307473 Enrollment ID: I20240513001567 |
| Provider Name | Stacie Lynn Braband |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689270498 PECOS PAC ID: 2062852924 Enrollment ID: I20240603004028 |
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Making A Difference Support Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1867 Airport Way Ste 200, Fairbanks, AK 99701 Phone: 907-750-7169 Fax: 907-490-4469 | |
Fcmhs Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-5287 | |
Rachel A Kacsur Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 2nd Ave, Suite 207b, Fairbanks, AK 99701 Phone: 907-455-0250 Fax: 907-455-0250 | |
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