Sunrise Counseling & Therapy Service LLP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1014123 Issued in AK

Legal business name

SUNRISE COUNSELING & THERAPY SERVICE LLP

Practice address

626 2ND St Ste 303
Fairbanks, AK 99701-3466

Phone

(907) 888-7474

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Dana R Pictou, LPC

Title

Partner

Phone

(907) 888-7474

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1215325477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 2ND ST STE 303",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466",
            "telephone_number": "907-888-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 2ND ST STE 303",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466",
            "telephone_number": "907-888-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COUNSELING & THERAPY SERVICE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "PICTOU",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "907-888-7474",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "1014123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "1014123",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.