Kristina Gutgesell Boswood, M.ED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PCO P 735 Issued in AK

Practice address

122 1St Ave
Suite 600
Fairbanks, AK 99701-4803

Phone

(907) 452-8251

Fax

(907) 459-3810

NPI assigned

Jul 8, 2009

Last updated

Dec 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristel Gutgesell Boswood Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senua Counseling Clinic, LLC

  dba Senua Counseling Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Oswego, OR
  • NPI 1902324122
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1023247384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 1ST AVE",
            "address_2": "SUITE 600",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014803",
            "telephone_number": "907-452-8251",
            "fax_number": "907-459-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 1ST AVE",
            "address_2": "SUITE 600",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014803",
            "telephone_number": "907-452-8251",
            "fax_number": "907-459-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWOOD",
        "first_name": "KRISTINA",
        "middle_name": "GUTGESELL",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "PCO P 735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEL",
            "last_name": "BOSWOOD",
            "middle_name": "GUTGESELL",
            "credential": "M.ED, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brenda Bornt-Johnson
• Jon Borseth
• Maigen Bosch
• Mary Boston
• Trevor Boswell
• Elizabeth Bottasso
• Nichole Bottelson
• Jil Diane Bottrell, PH.D.
• Brandon Scott Botts
• Alyssa Bouchard, PT, DPT

• Professional Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.