Max Todhunter

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

172536 Issued in AK

Practice address

330 Barnette St Ste 102
Fairbanks, AK 99701-4516

Phone

(907) 452-5252

NPI assigned

Aug 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Pacific Rim Counseling, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fairbanks, AK
  • NPI 1003342288
  NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1033766993",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODHUNTER",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "172536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Titus
• Kady Dale Titus
• Luke Titus
• Miriam Anne Titus, BSW
• Todd Haskin DMD LLC
• David Tolbert
• Jessica Tomcykoski, DC
• Heather Toney
• Gentry Toone, DDS
• Carlos Torbay

• 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 Aug 31, 2021; 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.