Individual provider Active NPI

Kelbie U'Ren

  • Professional Counselor
  • Wasilla, AK
National Provider Identifier
1295457596
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
195153 Issued in AK
Practice address
5851 E Mayflower CT
Wasilla, AK 99654-7881
Phone
(907) 376-4000
Fax
(907) 373-1135
NPI assigned
Sep 13, 2022
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC3983 ID
Professional Counselor 101YP2500X 195153 AK Primary

Addresses

Primary practice location

5851 E Mayflower CT
Wasilla, AK 99654-7881

Mailing address

5851 E Mayflower CT
Wasilla, AK 99654-7881
Phone (907) 376-4000

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

State licenses

LicenseStateTypeSpecialty
195153AKMDProfessional Counselor
LPC3983IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Family Services Inc. Current Accepting new patients
Behavioral Health Treatment Center CurrentSince Feb 12, 2023 Accepting new patients
The Children's Place PastSince Sep 1, 2022 Accepting new patients

Locations

5851 E Mayflower Ct
Wasilla, AK 99654
Phone (907) 373-4457

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1295457596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 E MAYFLOWER CT",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547881",
            "telephone_number": "907-376-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 E MAYFLOWER CT",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547881",
            "telephone_number": "907-376-4000",
            "fax_number": "907-373-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "U'REN",
        "first_name": "KELBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC3983",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "195153",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 6, 2023; 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.