Lorae M Gudgel, MPSY, CMA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

121 W Fireweed LN Ste 105
Anchorage, AK 99503-2044

Phone

(907) 865-9663

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1477025005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN STE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032044",
            "telephone_number": "907-865-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W FIREWEED LN STE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032044",
            "telephone_number": "907-865-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDGEL",
        "first_name": "LORAE",
        "middle_name": "M",
        "credential": "MPSY, CMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Flight LLC
• Guardian Flight LLC
• Guardian Flight LLC
• Emily Guarino
• Leigh Anne Gubatayao
• Robert C Gudor, M.D.
• Samantha Jean Guenther
• Carissa J Guernsey, LMT
• Jonathan Unpingco Guerrero, MS
• Roger Guerrero

• All providers in Anchorage, AK
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.