Active NPI
Lora Jean Donaldson, LPC, CDCI
- Professional Counselor
- Soldotna, AK
National Provider Identifier
1023485984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 775
- Practice address
- 44539 Sterling Hwy Ste 203
Blazy Mall
Soldotna, AK 99669-7920 - Phone
- (907) 260-2612
- NPI assigned
- Aug 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 775 | AK | Primary |
Addresses
Primary practice location
44539 Sterling Hwy Ste 203
Blazy Mall
Soldotna, AK 99669-7920
Mailing address
44539 Sterling Hwy Ste 203
Blazy Mall
Soldotna, AK 99669-7920
Phone (907) 260-2612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 775 | Other | AK | LICENSED PROFESSIONAL COUNSELOR |
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 |
|---|---|---|---|
| 775 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1023485984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44539 STERLING HWY STE 203",
"address_2": "BLAZY MALL",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697920",
"telephone_number": "907-260-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44539 STERLING HWY STE 203",
"address_2": "BLAZY MALL",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697920",
"telephone_number": "907-260-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "LORA",
"middle_name": "JEAN",
"credential": "LPC, CDCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "775",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.