Organization Active NPI

Luma Counseling

  • Clinical Social Worker
  • Ester, AK
National Provider Identifier
1104621424
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LUMA COUNSELING
Practice address
3939 Old Wood Road
Suite 74915
Ester, AK 99709
Phone
(401) 855-4776
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Mr. Paul L Gaines Jr., L.I.C.S.W.NPI 1235575762
Title
Owner / Ceo
Phone
(401) 855-4776

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3939 Old Wood Road
Suite 74915
Ester, AK 99709

Mailing address

315 Barnette St Unit 74915
Fairbanks, AK 99707-1157
Phone (401) 855-4773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415003851 AK Part B Supplier - Clinic/Group Practice 7719402445 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK; Ester, AK

National Provider Directory

National Provider Directory
Tax ID family
Luma Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3721 B St
Unit 240851
Anchorage, AK 99524

315 Barnette St
Unit 74915
Fairbanks, AK 99707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1104621424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BARNETTE ST UNIT 74915",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997071157",
            "telephone_number": "401-855-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 OLD WOOD ROAD",
            "address_2": "SUITE 74915",
            "city": "ESTER",
            "state": "AK",
            "postal_code": "99709",
            "telephone_number": "401-855-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "401-855-4776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.I.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ester, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.