Active NPI
Carol Sophia Field
- Mental Health Counselor
- Noorvik, AK
National Provider Identifier
1114295730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1897 Tundra Way
Box 189
Noorvik, AK 99763-0189 - Phone
- (907) 636-2103
- Fax
- (907) 636-2195
- NPI assigned
- Dec 9, 2011
- Last updated
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Community Health Worker | 172V00000X | 10-1058-III | AK |
Addresses
Primary practice location
1897 Tundra Way
Box 189
Noorvik, AK 99763-0189
Mailing address
PO Box 256
Kotzebue, AK 99752-0256
Phone (907) 442-7640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10-1058-III | AK | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1114295730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 256",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520256",
"telephone_number": "907-442-7640",
"fax_number": "907-442-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1897 TUNDRA WAY",
"address_2": "BOX 189",
"city": "NOORVIK",
"state": "AK",
"postal_code": "997630189",
"telephone_number": "907-636-2103",
"fax_number": "907-636-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELD",
"first_name": "CAROL",
"middle_name": "SOPHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "AK",
"license": "10-1058-III",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Noorvik, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.