Active NPI
Emily Barry
- Counselor
- Wasilla, AK
National Provider Identifier
1255767307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 301 E Danna Ave
Wasilla, AK 99654-6422 - Phone
- (907) 357-7519
- Fax
- (907) 357-7569
- NPI assigned
- Sep 20, 2013
- Last updated
- Sep 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
301 E Danna Ave
Wasilla, AK 99654-6422
Mailing address
1825 Marika Rd # Re
Fairbanks, AK 99709-5521
Phone (907) 474-0890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH3237 | Medicaid | AK |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Centered Services of Alaska | Past | Accepting new patients | |
| Family Centered Services of Alaska | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Child & Adolescent Psychiatry Physician
- Wasilla, AK
- NPI 1780274589
-
- Community/Behavioral Health Agency
- Wasilla, AK
- NPI 1942830419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1255767307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 MARIKA RD # RE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997095521",
"telephone_number": "907-474-0890",
"fax_number": "907-474-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E DANNA AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546422",
"telephone_number": "907-357-7519",
"fax_number": "907-357-7569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-20",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH3237",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.