Lynn Roberta Harrison, M.ED
Individual provider Active NPI Marriage & Family Therapist · Fairbanks, AK
NPI 1003022856 · NPPES record last updated Jul 10, 2015
Key facts
- NPI
- 1003022856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT M 193 (AK)
- Practice address
- 3504 Industrial
Fairbanks, AK 99701 - Phone
- (907) 479-8450
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDC I | AK | MD | Addiction (Substance Use Disorder) Counselor |
| MH 2389 | FL | MD | Mental Health Counselor |
| MFT M 193 | AK | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDC I | AK | |
| Mental Health Counselor | 101YM0800X | MH 2389 | FL | |
| Marriage & Family Therapist | 106H00000X | MFT M 193 | AK | Yes |
Addresses
Primary practice location
3504 Industrial
Fairbanks, AK 99701
Mailing address
PO Box 74083
Fairbanks, AK 99707-4083
Phone (907) 479-8450
Other providers in Fairbanks, AK
- Patricia Ann Harris
- Shirley Harris
- Sirrah Jade Harris
- Tiffany Harris
- Yvette Monique Harris
- Kathryn Harrod
- James F Harry
- Ethan Hart
- Jacqueline Harte
- Summer Dawn Hartford
All providers in Fairbanks, AK · Marriage & Family Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.