Active NPI
Ann Selma Alpern, PHD LMHC
- Counselor
- University Place, WA
National Provider Identifier
1083749402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LH00004286
- Practice address
- 4109 Bridgeport Way West
Suite D 3
University Place, WA 98466-4328 - Phone
- (253) 565-3759
- Fax
- (253) 857-8358
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH00004286 | WA | Primary |
Addresses
Primary practice location
4109 Bridgeport Way West
Suite D 3
University Place, WA 98466-4328
Mailing address
PO Box 64100
University Place, WA 98464-0100
Phone (253) 565-3759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL4667 | Other | REGENCE BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912002227 | WA | Practitioner - Mental Health Counselor | 0143760462 | Practice locations: University Place, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4109 Bridgeport Way W
Suite D3
University Place, WA 98466-4328
Phone (253) 564-3759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00004286 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083749402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64100",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984640100",
"telephone_number": "253-565-3759",
"fax_number": "253-857-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 BRIDGEPORT WAY WEST",
"address_2": "SUITE D 3",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664328",
"telephone_number": "253-565-3759",
"fax_number": "253-857-8358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALPERN",
"first_name": "ANN",
"middle_name": "SELMA",
"credential": "PHD LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH00004286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "AL4667",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.