Organization Active NPI

Arctic Owl Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
National Provider Identifier
1093460792
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ARCTIC OWL COUNSELING, LLC
Practice address
3505 E 19TH Ave
Anchorage, AK 99508-3404
Phone
(907) 223-4374
Fax
(907) 279-0069
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Mr. Roni Jay Lanier, MS, LPC, CDC INPI 1578814737
Title
Licensed Professional Counselor
Phone
(907) 223-4374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3505 E 19TH Ave
Anchorage, AK 99508-3404

Mailing address

3505 E 19TH Ave
Anchorage, AK 99508-3404
Phone (907) 223-4374

Other names 1

  • Arctic Owl Counseling, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251222002565 AK Part B Supplier - Clinic/Group Practice 2769977248 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1093460792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 E 19TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083404",
            "telephone_number": "907-223-4374",
            "fax_number": "907-279-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E 19TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083404",
            "telephone_number": "907-223-4374",
            "fax_number": "907-279-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC OWL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "RONI",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "907-223-4374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC, CDC I"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arctic Owl Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.