Individual provider Active NPI

Sierra Southam, CTRS

  • Mental Health Counselor
  • Anchorage, AK
National Provider Identifier
1306643101
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098
Phone
(907) 274-8281
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 Primary

Addresses

Primary practice location

1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098

Mailing address

1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098
Phone (907) 274-8281

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denali Family Services CurrentSince Mar 11, 2025 Accepting new patients
Denali Family Services CurrentSince Mar 11, 2025 Accepting new patients

Locations

1251 Muldoon Rd
Ste 116
Anchorage, AK 99504
Phone (907) 274-8281

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/denalifs/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1306643101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 MULDOON RD STE 116",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042098",
            "telephone_number": "907-274-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 MULDOON RD STE 116",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042098",
            "telephone_number": "907-274-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHAM",
        "first_name": "SIERRA",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.