Individual provider Active NPI

Kyria Chrisp-Stashak, LPC

  • Counselor
  • Anchorage, AK
National Provider Identifier
1346679115
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1300 W 70TH Ave
Anchorage, AK 99518-2009
Phone
(907) 570-6382
NPI assigned
Nov 2, 2013
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 122318 AK
Counselor 101Y00000X Primary

Addresses

Primary practice location

1300 W 70TH Ave
Anchorage, AK 99518-2009

Mailing address

1300 W 70TH Ave
Anchorage, AK 99518-2009
Phone (303) 842-7599

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
I20260530000411 AK Practitioner - Mental Health Counselor 0749750792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7948 Highlander Dr
Anchorage, AK 99518-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122318AKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Marriage & Family Therapy Associates PastSince Feb 1, 2022 Accepting new patients
Alaska Marriage & Family Therapy Associates LLC PastSince Dec 18, 2022 Accepting new patients

Organizations & group practices 3

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1346679115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 70TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182009",
            "telephone_number": "303-842-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 70TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182009",
            "telephone_number": "907-570-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISP-STASHAK",
        "first_name": "KYRIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "122318",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.