Tima C. Priess, MA, LMFT

Individual provider Active NPI Marriage & Family Therapist · Fairbanks, AK

NPI 1104815448 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104815448
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
AA107 (AK)
Practice address
543 3Rd Ave
Suite 201
Fairbanks, AK 99701-4732
Phone
(907) 452-8438
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 Arts

State licenses

LicenseStateTypeSpecialty
AA107AKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pleiades Counseling Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AA107 AK Yes

Addresses

Primary practice location

543 3Rd Ave
Suite 201
Fairbanks, AK 99701-4732

Mailing address

PO Box 213
Ester, AK 99725-0213
Phone (907) 452-8438

Other providers in Fairbanks, AK

All providers in Fairbanks, AK · Marriage & Family Therapist in Alaska

Sources for this page

Verify at the official NPI Registry.