Solomon Porch LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

101191 Issued in AK

Legal business name

SOLOMON PORCH LLC

Practice address

626 2ND St Ste 101
Fairbanks, AK 99701-3466

Phone

(907) 350-4353

NPI assigned

Aug 7, 2015

Last updated

Aug 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Root, LPC, PSYDNPI 1376986802

Title

Sole Member

Phone

(907) 350-4353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Root, PSYD

  • Mental Health Counselor
  • Fairbanks, AK
  • NPI 1376986802
  Authorized official Same address or phone

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1467838847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 2ND ST STE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466",
            "telephone_number": "907-350-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 2ND ST STE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466",
            "telephone_number": "907-350-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON PORCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "907-350-4353",
        "authorized_official_credential": "LPC, PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "101191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA ENTITY",
            "identifier": "10031301",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Michelle Snyder
• Anna Maria Sochocki
• Jessica Soldat
• Solid Foundations
• Solid Foundations (Healing Heart)
• Delores Pearl Solomon
• Sophia Solomon
• Kristina Solovyanov
• Solstice Medicine & Wellness, LLC
• Joyce Sommer

• Professional Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.