Individual provider Active NPI

Nicole Anders, LPC

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1457859902
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
129191 Issued in AK
Practice address
4141 B St Ste 203
Anchorage, AK 99503-5940
Phone
(907) 229-3977
Fax
(907) 313-1382
NPI assigned
Jan 30, 2018
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 129191 AK Primary

Addresses

Primary practice location

4141 B St Ste 203
Anchorage, AK 99503-5940

Mailing address

205 E Dimond Blvd PMB 373
Anchorage, AK 99515
Phone (907) 229-3977

Other names 1

  • Nicole Gregson Former name

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

LicenseStateTypeSpecialty
129191AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartprints Counseling LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

205 E Dimond Blvd
Anchorage, AK 99515
Phone (435) 590-3272

4141 B St
Ste 203
Anchorage, AK 99503
Phone (907) 229-3977

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1457859902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E DIMOND BLVD PMB 373",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-229-3977",
            "fax_number": "907-313-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 B ST STE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035940",
            "telephone_number": "907-229-3977",
            "fax_number": "907-313-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "129191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GREGSON",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 8, 2024; 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.