Krista Ann Pemberton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1023 Issued in AK

Practice address

2600 Denali St
Suite 450
Anchorage, AK 99503-2746

Phone

(907) 561-0552

Fax

(907) 561-0562

NPI assigned

Dec 31, 2010

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pemberton and Young Counseling LLCGroup PAC ID 9133465131, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pemberton & Young Counseling LLC

  • Clinical Social Worker
  • Anchorage, AK
  • NPI 1245723824
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1194029488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92303",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995092303",
            "telephone_number": "907-561-0552",
            "fax_number": "907-561-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST",
            "address_2": "SUITE 450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032746",
            "telephone_number": "907-561-0552",
            "fax_number": "907-561-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-31",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Lorenz Casaba Pelia
• Jordi T Pellicer, DO
• Dana K Peltola
• Pemberton & Young Counseling LLC
• Damon J Pemberton, LCSW
• Prentiss J Pemberton, LCSW
• Karen L. Pena, RN
• Joseph Marvin Penafort
• Ashley Kay Pendegrass
• John W Pendrey IV, CDCII, NCAC1

• Clinical Social Worker in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.