Alisha Gwynn Sarginger

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

NPI 1154996643 · NPPES record last updated May 26, 2021

Key facts

NPI
1154996643
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
176204 (AK)
Practice address
200 W Riverdance Cir
Wasilla, AK 99654-6393
Phone
(661) 524-1151
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 24, 2025 through Sep 24, 2027

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
176204AKMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 176204 AK Yes

Addresses

Primary practice location

200 W Riverdance Cir
Wasilla, AK 99654-6393

Mailing address

205 E Dimond Blvd
Anchorage, AK 99515-1909
Phone (661) 524-1151

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address alisha@coastalwellnessak.com Direct

Other providers in Wasilla, AK

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

Sources for this page

Verify at the official NPI Registry.