Eric M Unruh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

647 Issued in AK

Practice address

17105 Park Place St
Eagle River, AK 99577-7821

Phone

(907) 622-1002

Fax

(907) 622-8808

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peak Counseling

  • Community/Behavioral Health Agency
  • Eagle River, AK
  • NPI 1336526367
  NPD (past) Authorized official
• Providence Health & Services - Washington

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1538254347
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295786119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17105 PARK PLACE STREET",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-622-1002",
            "fax_number": "907-622-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17105 PARK PLACE ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777821",
            "telephone_number": "907-622-1002",
            "fax_number": "907-622-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH3681",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Francis Twiford, D.C.
• Karmin Tyler
• U.S. Healthworks Medical Group of Alaska, LLC
• Jami Ukena, LMT
• Kimberly Headle Ulrich, RBT
• Daniel Upton, CC
• Vacca Physiatry LLC
• Brian Domenic Vacca, MD
• Vanessa Van Cleve
• Mildred Margaret Vandergon, PT

• Clinical Social Worker in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.