Kintsugi Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KINTSUGI COUNSELING LLC

Practice address

1305 21St Ave Ste 204
Fairbanks, AK 99701-6084

Phone

(907) 474-0059

NPI assigned

Mar 31, 2022

Last updated

Apr 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virginia Redmond, LCSWNPI 1124670302

Title

Co-Owner

Phone

(907) 474-0059

Specialties & licenses 2

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virginia C S Redmond

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1124670302
  NPD Authorized official
• Vanessa Shannon

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1558909481
  NPD
• Carol Altepeter, LMSW

  • Social Worker
  • Bethel, AK
  • NPI 1629305834
  NPD (past)
• L. Jenae Macnaughton, LMHC, LPC, LPC-S

  • Counselor
  • Anchorage, AK
  • NPI 1730487539

  Mental Health

  NPD (past)
• Erica Lynn Nardella, LCSW

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1881235851

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743897600000",
    "number": "1306586961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 21ST AVE STE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 21ST AVE STE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016084",
            "telephone_number": "907-474-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTSUGI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "907-474-0059",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn L Kindt, ADVANCED NURSE PRACT
• King Cab Inc
• Jordan Antonia King
• Melanie King
• Kristal Ann Kinsey, MSW, LCSW
• Joshua David Kirbens, MD
• George Roy Kirchner Jr., MA, LPC, NCC
• Kimberly Maria Kirkup, NP
• Shannon Kirleis, RN
• Arlene Gay Kirschner, M.D. APC

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, 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 Apr 6, 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.

Verify at the official NPI Registry.