Organization Active NPI

Self-Awareness and Presence Practice - Sapp Counseling

  • Mental Health Counselor
  • Anchorage, AK
National Provider Identifier
1386310282
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SELF-AWARENESS AND PRESENCE PRACTICE - SAPP COUNSELING
Practice address
15261 Snow Flake Dr
Anchorage, AK 99516-4435
Phone
(907) 331-8854
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Nina Clark, PSYDNPI 1982276077
Title
Owner
Phone
(907) 331-8854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

15261 Snow Flake Dr
Anchorage, AK 99516-4435

Mailing address

1577 C St Ste 105
Anchorage, AK 99501-5127
Phone (907) 331-8854

Other practice location 1

1306 NW Oceania Dr
Waldport, OR 97394-9473
Phone (907) 331-8854

Other practice location 2

600 1st Ave Ste 330
Seattle, WA 98104-2246
Phone (907) 331-8854

Other names 1

  • Self-Awareness and Presence Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311003957 AK Part B Supplier - Clinic/Group Practice 7911343074 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1386310282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 C ST STE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015127",
            "telephone_number": "907-331-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15261 SNOW FLAKE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995164435",
            "telephone_number": "907-331-8854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 NW Oceania Dr",
            "address_purpose": "LOCATION",
            "city": "Waldport",
            "state": "OR",
            "postal_code": "973949473",
            "country_code": "US",
            "telephone_number": "907-331-8854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 1st Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042246",
            "country_code": "US",
            "telephone_number": "907-331-8854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELF-AWARENESS AND PRESENCE PRACTICE - SAPP COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-331-8854",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self-Awareness and Presence Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.