Organization Active NPI

Severson & Depalatis Christian Counseling, Inc

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1275743825
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12 Issued in AK
Legal business name
SEVERSON & DEPALATIS CHRISTIAN COUNSELING, INC
Practice address
12930 Summer Cir
Anchorage, AK 99516-2629
Phone
(907) 244-4165
Fax
(907) 563-8287
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Ray S Depalatis, PH.D., L.P.C.NPI 1720298201
Title
President
Phone
(907) 244-4165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 12 AK Primary

Addresses

Primary practice location

12930 Summer Cir
Anchorage, AK 99516-2629

Mailing address

12930 Summer Cir
Anchorage, AK 99516-2629
Phone (907) 244-4165

National Provider Directory

National Provider Directory

Locations

3150 C St
Ste 280
Anchorage, AK 99503
Phone (907) 562-6418

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1275743825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 SUMMER CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162629",
            "telephone_number": "907-244-4165",
            "fax_number": "907-563-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 SUMMER CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162629",
            "telephone_number": "907-244-4165",
            "fax_number": "907-563-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERSON & DEPALATIS CHRISTIAN COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "DEPALATIS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-244-4165",
        "authorized_official_credential": "PH.D., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 12, 2024; 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.