Individual provider Active NPI

Maybelle Filler

  • Counselor
  • Sitka, AK
National Provider Identifier
1073917761
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
113 Metlakatla St
Sitka, AK 99835-7666
Phone
(907) 747-1417
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

113 Metlakatla St
Sitka, AK 99835-7666

Mailing address

113 Metlakatla St
Sitka, AK 99835-7666
Phone (907) 747-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827000062 AK Practitioner - Clinical Social Worker 2365791217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sitka Counseling and Prevention Services IncGroup PAC ID 9830185925, 2 clinicians

Practice addresses (Care Compare)

113 Metlakatla St
Sitka, AK 99835-7666
Phone (907) 747-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sitka Counseling & Prevention Services, Inc. CurrentSince Mar 22, 2020 Accepting new patients
Sitka Counseling & Prevention Services, Inc. Counselor CurrentSince Jul 18, 2018 Accepting new patients

Locations

113 Metlakatla St
Sitka, AK 99835
Phone (907) 747-1417

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1073917761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 METLAKATLA ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357666",
            "telephone_number": "907-747-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 METLAKATLA ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357666",
            "telephone_number": "907-747-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLER",
        "first_name": "MAYBELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

Verify at the official NPI Registry.