Individual provider Active NPI

Andrew Ransom Harlos

  • Mental Health Counselor
  • Girdwood, AK
National Provider Identifier
1306120365
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
207430 Issued in AK
Practice address
1130 Lindblad Ave
Girdwood, AK 99587-1130
Phone
(907) 783-1355
Fax
(907) 783-1357
NPI assigned
Oct 7, 2011
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 207430 AK Primary

Addresses

Primary practice location

1130 Lindblad Ave
Girdwood, AK 99587-1130

Mailing address

PO Box 1130
Girdwood, AK 99587-1130
Phone (907) 783-1355

Other practice location 1

4020 Folker St
Anchorage, AK 99508-5321
Phone (907) 563-1000

Other identifiers 1

IdentifierTypeStateIssuer
1754784MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408003090 AK Practitioner - Mental Health Counselor 5395269617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Girdwood Health Clinic, Inc.Group PAC ID 4688836216, 8 clinicians

Practice addresses (Care Compare)

PO Box
Suite 1130
Girdwood, AK 99587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
207430AKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Girdwood Health Clinic, Inc. CurrentSince Jan 6, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrew.harlos.1@8748.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8748/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1306120365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1130",
            "city": "GIRDWOOD",
            "state": "AK",
            "postal_code": "995871130",
            "telephone_number": "907-783-1355",
            "fax_number": "907-783-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LINDBLAD AVE",
            "city": "GIRDWOOD",
            "state": "AK",
            "postal_code": "995871130",
            "telephone_number": "907-783-1355",
            "fax_number": "907-783-1357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Folker St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085321",
            "country_code": "US",
            "telephone_number": "907-563-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLOS",
        "first_name": "ANDREW",
        "middle_name": "RANSOM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "207430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1754784",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Girdwood, AK

Sources for this page

Verify at the official NPI Registry.