Healing Rock Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEALING ROCK COUNSELING SERVICES LLC

Practice address

11517 Old Glenn Hwy Ste 204
Eagle River, AK 99577-7312

Phone

(907) 354-0439

Fax

(907) 689-7625

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Cathy Jean King, PHDNPI 1871780452

Title

Organization Official

Phone

(907) 354-0439

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Cathy Jean King, PHD ,LPC,CDCS

  • Professional Counselor
  • Eagle River, AK
  • NPI 1871780452
  NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1104654722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23450 GLACIER VIEW DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779617",
            "telephone_number": "907-354-0439",
            "fax_number": "907-689-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11517 OLD GLENN HWY STE 204",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777312",
            "telephone_number": "907-354-0439",
            "fax_number": "907-689-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROCK COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ORGANIZATION OFFICIAL",
        "authorized_official_telephone_number": "907-354-0439",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871780452",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275165763",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.