Pacific Rim Counseling, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

906314 Issued in AK

Legal business name

PACIFIC RIM COUNSELING, INC.

Practice address

330 Barnette St Ste 102
Fairbanks, AK 99701-4516

Phone

(907) 452-5252

Fax

(907) 452-6233

NPI assigned

May 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kira HansenNPI 1760039614

Title

Clinical Director

Phone

(907) 452-5252

Specialties & licenses 2

Addresses

Other names 1

• Pacific Rim Counseling Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kira Hansen

  • Addiction (Substance Use Disorder) Counselor
  • Fairbanks, AK
  • NPI 1760039614
  NPD Authorized official
• Max Todhunter

  • Professional Counselor
  • Fairbanks, AK
  • NPI 1033766993
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1003342288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BARNETTE ST STE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014516",
            "telephone_number": "907-452-5252",
            "fax_number": "907-452-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BARNETTE ST STE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014516",
            "telephone_number": "907-452-5252",
            "fax_number": "907-452-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIM COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "907-452-5252",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AK",
            "license": "906314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Rim Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Rim Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Otter Dental
• Jamie Oudekerk
• Brahim Ouhamoulahcen
• Kaley Renae Overbey
• James Overstreet
• William Robert Packee
• Jenna Lee Paddon, M.S.
• Jeannette Padilla
• Alice Palen
• Angela Palmer, LPN

• Substance Use Disorder Rehabilitation Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.