Organization Active NPI

Wellness and Health

  • Mental Health Counselor
  • Wasilla, AK
National Provider Identifier
1154717023
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
528 Issued in AK
Legal business name
WELLNESS AND HEALTH
Practice address
491 N Knik St
Wasilla, AK 99654-7049
Phone
(907) 841-5330
Fax
(907) 376-9508
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Ms. Deb L. Haynes, M.ED. LPC
Title
Therapist
Phone
(907) 841-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 528 AK Primary

Addresses

Primary practice location

491 N Knik St
Wasilla, AK 99654-7049

Mailing address

491 N Knik St
Wasilla, AK 99654-7049
Phone (907) 841-5330

National Provider Directory

National Provider Directory

Locations

491 N Knik St
Wasilla, AK 99654
Phone (907) 376-9500

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1154717023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547049",
            "telephone_number": "907-841-5330",
            "fax_number": "907-376-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547049",
            "telephone_number": "907-841-5330",
            "fax_number": "907-376-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DEB",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "907-841-5330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED. LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.