Flexible Counseling Solutions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FLEXIBLE COUNSELING SOLUTIONS LLC

Practice address

1075 S Check St Ste 110
Wasilla, AK 99654-8067

Phone

(907) 376-3539

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Bridgette Evans, MSW, LCSW

Title

Sole Member

Phone

(907) 376-3539

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1083329288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S CHECK ST STE 110",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548067",
            "telephone_number": "907-376-3539",
            "fax_number": "907-215-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S CHECK ST STE 110",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548067",
            "telephone_number": "907-376-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXIBLE COUNSELING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "907-376-3539",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1735601",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@flexiblecounselingsolutions.directak.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1075 S Check St Ste 110",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996548067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Wasilla, AK
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.