Individual provider Active NPI

Lahela Ashlee Rice Jorgenson, PSYD

  • Psychologist
  • Anchorage, AK
National Provider Identifier
1174920334
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
141062 Issued in AK
Practice address
4112 Hood CT
Anchorage, AK 99517-1057
Phone
(907) 787-9435
Fax
(907) 802-6111
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 141062 AK Primary

Addresses

Primary practice location

4112 Hood CT
Anchorage, AK 99517-1057

Mailing address

4112 Hood CT
Anchorage, AK 99517-1057
Phone (907) 787-9435

Other names 1

  • Lahela Ashlee Nishigaya Rice Former name

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

LicenseStateTypeSpecialty
141062AKMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1174920334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 HOOD CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171057",
            "telephone_number": "907-787-9435",
            "fax_number": "907-802-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 HOOD CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171057",
            "telephone_number": "907-787-9435",
            "fax_number": "907-802-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSON",
        "first_name": "LAHELA",
        "middle_name": "ASHLEE RICE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AK",
            "license": "141062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAHELA",
            "last_name": "NISHIGAYA RICE",
            "middle_name": "ASHLEE",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.