Individual provider Active NPI

Theodore Lole Taua

  • Counselor
  • Anchorage, AK
National Provider Identifier
1447894563
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
741 N Bunn St Apt 4
Anchorage, AK 99508-1696
Phone
(907) 333-2468
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Counselor 101Y00000X Primary

Addresses

Primary practice location

741 N Bunn St Apt 4
Anchorage, AK 99508-1696

Mailing address

500 E Tudor Rd Ste 200
Anchorage, AK 99503-7377
Phone (907) 333-2468

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@houseoftransformations.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1447894563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E TUDOR RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037377",
            "telephone_number": "907-333-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N BUNN ST APT 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081696",
            "telephone_number": "907-333-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUA",
        "first_name": "THEODORE",
        "middle_name": "LOLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@houseoftransformations.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "741 N Bunn St Apt 4",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995081696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 31, 2019; 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.