Active NPI
Michelle Witt
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1417217290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 664
- Practice address
- 8717 Dimond D Cir
Anchorage, AK 99515-1931 - Phone
- (907) 771-0536
- Fax
- (907) 771-0537
- NPI assigned
- May 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 664 | AK | Primary |
Addresses
Primary practice location
8717 Dimond D Cir
Anchorage, AK 99515-1931
Mailing address
PO Box 110986
Anchorage, AK 99511-0986
Phone (907) 771-0536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021093 | Medicaid | AK |
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 |
|---|---|---|---|
| 664 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E & a, Inc. | Past | Accepting new patients | |
| E & a, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1528223948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1417217290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110986",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995110986",
"telephone_number": "907-771-0536",
"fax_number": "907-771-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8717 DIMOND D CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151931",
"telephone_number": "907-771-0536",
"fax_number": "907-771-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITT",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-25",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021093",
"state": "AK"
}
],
"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 Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.