Individual provider Active NPI

Peter A Courtnage, D.AC., PSY.D.

  • Acupuncturist
  • Anchorage, AK
National Provider Identifier
1306917562
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003 Issued in AK
Practice address
626 K St
Anchorage, AK 99501-3329
Phone
(907) 243-3031
Fax
(907) 243-3922
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 401 AK
Acupuncturist 171100000X 003 AK Primary

Addresses

Primary practice location

626 K St
Anchorage, AK 99501-3329

Mailing address

626 K St
Anchorage, AK 99501-3329
Phone (907) 243-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2015 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
401AKMDSocial Worker
003AKMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jade Acupuncture and Behavioral Health LLC Clinical PastSince Oct 26, 1998 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306917562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 K ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013329",
            "telephone_number": "907-243-3031",
            "fax_number": "907-243-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 K ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013329",
            "telephone_number": "907-243-3031",
            "fax_number": "907-243-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNAGE",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "D.AC., PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "401",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.