Individual provider Active NPI

Muranda Griggs, MS, LPC, CDCI, MAC

  • Mental Health Counselor
  • Eagle River, AK
National Provider Identifier
1194269779
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
116225 Issued in AK
Practice address
16600 Centerfield Dr
Ste 201
Eagle River, AK 99577-7702
Phone
(425) 941-6419
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4092 AK
Mental Health Counselor 101YM0800X 116225 AK Primary

Addresses

Primary practice location

16600 Centerfield Dr
Ste 201
Eagle River, AK 99577-7702

Mailing address

16600 Centerfield Dr
Ste 201
Eagle River, AK 99577-7702
Phone (425) 941-6419

Other names 1

  • Muranda Wallace Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240301001887 AK Practitioner - Mental Health Counselor 6406291319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Solutions of Alaska LLCGroup PAC ID 6901160027, 15 clinicians

Practice addresses (Care Compare)

11470 Business Blvd
Suite 100
Eagle River, AK 99577-7780
Phone (907) 689-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4092AKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Solutions of Alaska LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

701 E Tudor Rd
Ste 215
Anchorage, AK 99503
Phone (907) 644-8044

11470 Business Blvd
Ste 100
Eagle River, AK 99577
Phone (907) 622-4325

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1194269779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 CENTERFIELD DR",
            "address_2": "STE 201",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777702",
            "telephone_number": "425-941-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 CENTERFIELD DR",
            "address_2": "STE 201",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777702",
            "telephone_number": "425-941-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "MURANDA",
        "credential": "MS, LPC, CDCI, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "4092",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "116225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MURANDA",
            "last_name": "WALLACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.