Kelly Ann Eggleston, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

174 W Spruce Ave
Wasilla, AK 99654-5400

Phone

(907) 376-7233

Fax

(907) 357-0286

NPI assigned

Sep 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1407007172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 W SPRUCE AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996545400",
            "telephone_number": "907-376-7233",
            "fax_number": "907-357-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 W SPRUCE AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996545400",
            "telephone_number": "907-376-7233",
            "fax_number": "907-357-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ina Edwards-Jones
• Ja'Leie Edwards
• Maria Elva Edwards
• Serena Egbert
• Beth Eggleston, LPCC
• Amy Ehrlinspiel
• April Dawn Eichhorn
• Gary Eichhorn
• Joseph Orlia Eichhorn
• Patricia Eichhorn

• Mental Health Counselor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.