Individual provider Active NPI

Cory David Farrow, MS

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1407479173
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
199106 Issued in AK
Practice address
341 W Tudor Road Suite 209
Anchorage, AK 99503-6648
Phone
(907) 331-0576
Fax
(800) 511-7484
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 199106 AK Primary

Addresses

Primary practice location

341 W Tudor Road Suite 209
Anchorage, AK 99503-6648

Mailing address

341 W Tudor Road Suite 209
Anchorage, AK 99503-6648
Phone (907) 331-0576

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
I20240502004068 AK Practitioner - Mental Health Counselor 3678913928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ge Family Services LLCGroup PAC ID 0244697712, 7 clinicians

Practice addresses (Care Compare)

341 W Tudor Rd
Suite 209
Anchorage, AK 99503-6648
Phone (907) 331-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ge Family Services LLC Addiction (Substance Use Disorder) CurrentSince Mar 10, 2024 Accepting new patients

Locations

341 W Tudor Rd
Ste 209
Anchorage, AK 99503
Phone (855) 508-1075

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1407479173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 W TUDOR ROAD SUITE 209",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036648",
            "telephone_number": "907-331-0576",
            "fax_number": "800-511-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W TUDOR ROAD SUITE 209",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036648",
            "telephone_number": "907-331-0576",
            "fax_number": "800-511-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "CORY",
        "middle_name": "DAVID",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "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": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "199106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.