Active NPI
Jason D. Pretzel, LPC
- Professional Counselor
- Homer, AK
National Provider Identifier
1013298215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 689
- Practice address
- 41495 Stellars Jay Dr
Homer, AK 99603-9438 - Phone
- (907) 885-1985
- NPI assigned
- Aug 31, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 689 | AK | Primary |
Addresses
Primary practice location
41495 Stellars Jay Dr
Homer, AK 99603-9438
Mailing address
PO Box 1315
Homer, AK 99603-1315
Phone (907) 885-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 689 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517788800000",
"number": "1013298215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1315",
"city": "HOMER",
"state": "AK",
"postal_code": "996031315",
"telephone_number": "907-885-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41495 STELLARS JAY DR",
"city": "HOMER",
"state": "AK",
"postal_code": "996039438",
"telephone_number": "907-885-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRETZEL",
"first_name": "JASON",
"middle_name": "D.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-31",
"last_updated": "2018-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.