Sarah Anne Bannister, MA, LPC
Individual provider Active NPI Professional Counselor · Wasilla, AK
NPI 1407088271 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1407088271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 875 (AK)
- Practice address
- Mtsu Mental Health 860 S Roberts St
Wasilla, AK 99654-0014 - Phone
- (907) 921-2251
- NPI assigned
- Aug 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
609 Main St
Warsaw, OH 43844-3500
700 E Railroad Ave
Wasilla, AK 99654-8136
Phone (907) 841-7089
730 E Bettina Way
Wasilla, AK 99623
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251111000652 | AK | Practitioner - Mental Health Counselor | 2668962341 | Practice locations: Wasilla, AK |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 875 | AK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat-Su Mental Health LLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 875 | AK | |
| Professional Counselor | 101YP2500X | 875 | AK | Yes |
Addresses
Primary practice location
Mtsu Mental Health 860 S Roberts St
Wasilla, AK 99654-0014
Mailing address
860 S Roberts St
Wasilla, AK 99654-0014
Phone (907) 444-9111
Other providers in Wasilla, AK
- Lauren Baker
- Lyda A Baker
- Megan Baker
- Bald Mountain View Assisted Living Home
- Krystal L. Banks
- Katharine Bannon
- Banyan Alaska, LLC
- Monet Dolphene Barbee
- Morgan Anastasia Barker
- David L Barnes
All providers in Wasilla, AK · Professional Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.