Rebecca Warren, MS

Individual provider Active NPI Mental Health Counselor · Palmer, AK

NPI 1104213057 · NPPES record last updated Oct 6, 2020

Key facts

NPI
1104213057
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
11921 E Palmer Wasilla Hwy
Palmer, AK 99645-8833
Phone
(907) 745-2634
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Full Circle Counseling Solutions LLC Past Accepting new patients
Codi, Inc. Past
since Oct 11, 2020
Accepting new patients
Co Occuring Disorders Institute Past
since Oct 11, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

11921 E Palmer Wasilla Hwy
Palmer, AK 99645-8833

Mailing address

PO Box 1907
Palmer, AK 99645-1907
Phone (907) 745-2634

Other practice location 1

133 E Swanson Ave
Wasilla, AK 99654-7025
Phone (907) 864-0560

Other providers in Palmer, AK

All providers in Palmer, AK · Mental Health Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.