Active NPI
Chris Reppel, LCSW, MSW, CDC I
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1407309503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 137121
- Practice address
- 2600 Cordova St Ste 101
Anchorage, AK 99503-2745 - Phone
- (907) 279-9634
- NPI assigned
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 137121 | AK | Primary |
Addresses
Primary practice location
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Mailing address
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9634
Other practice location 1
8012 Stewart Mountain Dr
Eagle River, AK 99577-9013
Phone (907) 694-3336
Other practice location 2
755 A St
Anchorage, AK 99501-3625
Phone (907) 279-9634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137121 | AK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1407309503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 CORDOVA ST STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032745",
"telephone_number": "907-279-9634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 CORDOVA ST STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032745",
"telephone_number": "907-279-9634"
}
],
"practiceLocations": [
{
"address_1": "8012 Stewart Mountain Dr",
"address_purpose": "LOCATION",
"city": "Eagle River",
"state": "AK",
"postal_code": "995779013",
"country_code": "US",
"telephone_number": "907-694-3336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "755 A St",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995013625",
"country_code": "US",
"telephone_number": "907-279-9634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REPPEL",
"first_name": "CHRIS",
"credential": "LCSW, MSW, CDC I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-26",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "137121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.