Active NPI
Arctic Owl Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anchorage, AK
National Provider Identifier
1093460792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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 I
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251222002565 | AK | Part B Supplier - Clinic/Group Practice | 2769977248 |
Receives reassigned benefits from 1 practitioner Practice locations: Anchorage, AK |
National Provider Directory
National Provider DirectoryPractitioners & 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.