NPIMap

Organization Active NPI

Dallas Norman LPC LLC

  • Professional Counselor
  • Fairbanks, AK
National Provider Identifier
1164800363
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1020553 Issued in AK
Legal business name
DALLAS NORMAN LPC LLC
Practice address
626 2ND St
Suite 101a
Fairbanks, AK 99701-3466
Phone
(907) 455-5238
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dallas P Norman, LPCNPI 1386989903
Title
Managing Member
Phone
(907) 455-5238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1020553 AK Primary

Addresses

Primary practice location

626 2ND St
Suite 101a
Fairbanks, AK 99701-3466

Mailing address

626 2ND St
Suite 101a
Fairbanks, AK 99701-3466

National Provider Directory

National Provider Directory

Locations

626 2nd St
Ste 101A
Fairbanks, AK 99701
Phone (907) 455-5238

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": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1164800363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 2ND ST",
            "address_2": "SUITE 101A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 2ND ST",
            "address_2": "SUITE 101A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466",
            "telephone_number": "907-455-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS NORMAN LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-455-5238",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "1020553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

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