Organization Active NPI

Juniper Psychotherapy LLC

  • Clinical Social Worker
  • Sitka, AK
National Provider Identifier
1154015782
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUNIPER PSYCHOTHERAPY LLC
Practice address
901 Halibut Point Rd Ste E
Sitka, AK 99835-7106
Phone
(907) 623-8239
NPI assigned
Jun 6, 2023
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Margaret Gallin, LCSWNPI 1730583303
Title
Owner/LCSW
Phone
(907) 416-5478

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 Worker 1041C0700X Primary

Addresses

Primary practice location

901 Halibut Point Rd Ste E
Sitka, AK 99835-7106

Mailing address

408 Oja Way Apt D
Sitka, AK 99835-7663
Phone (907) 623-8239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230627003414 AK Part B Supplier - Clinic/Group Practice 0042678765 Receives reassigned benefits from 1 practitioner
Practice locations: Sitka, AK

National Provider Directory

National Provider Directory

Locations

901 Halibut Point Rd
Ste E
Sitka, AK 99835
Phone (224) 612-2173

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": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1154015782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 OJA WAY APT D",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357663",
            "telephone_number": "907-623-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HALIBUT POINT RD STE E",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357106",
            "telephone_number": "907-623-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "GALLIN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "907-416-5478",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.