Active NPI
Rachelle Ebbesson, MA LMT
- Mental Health Counselor
- Fairbanks, AK
National Provider Identifier
1275912677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 122 1St Ave Ste 4
Fairbanks, AK 99701-4871 - Phone
- (907) 459-3800
- NPI assigned
- May 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 101581 | AK | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
122 1St Ave Ste 4
Fairbanks, AK 99701-4871
Mailing address
PO Box 74058
Fairbanks, AK 99707-4058
Phone (907) 347-4580
Other practice location 1
1125 W Chena Hills Dr
Fairbanks, AK 99709-5745
Phone (907) 347-4580
Other names 1
- Rachelle Verdugo
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101581 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point LLC | Past | Accepting new patients | |
| Alaska Therapeutic Massage LLC | Massage Therapist | 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 and National Provider Directory roles.
-
- Massage Therapist
- Fairbanks, AK
- NPI 1528417243
-
- Community/Behavioral Health Agency
- Fairbanks, AK
- NPI 1619108677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1275912677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74058",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997074058",
"telephone_number": "907-347-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 1ST AVE STE 4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014871",
"telephone_number": "907-459-3800"
}
],
"practiceLocations": [
{
"address_1": "1125 W Chena Hills Dr",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997095745",
"country_code": "US",
"telephone_number": "907-347-4580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBBESSON",
"first_name": "RACHELLE",
"credential": "MA LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2025-07-10",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "101581",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHELLE",
"last_name": "VERDUGO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.