Lydia Anna Bird, LPC, MAC
Individual provider Active NPI Professional Counselor · Soldotna, AK
NPI 1477082410 · NPPES record last updated Nov 6, 2021
Key facts
- NPI
- 1477082410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 109622 (AK)
- Practice address
- 379 W Katmai Ave
Soldotna, AK 99669-7315 - Phone
- (907) 953-9655
- NPI assigned
- Jun 4, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Widening Circles LLC | Current |
Accepting new patients | |
| Wild Goose Counseling LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 109622 | AK | |
| Mental Health Counselor | 101YM0800X | 109622 | AK | |
| Professional Counselor | 101YP2500X | 109622 | AK | Yes |
Addresses
Primary practice location
379 W Katmai Ave
Soldotna, AK 99669-7315
Mailing address
379 W Katmai Ave
Soldotna, AK 99669-7315
Phone (907) 953-9614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109622 | Other | AK | LICENSED PROFESSIONAL COUNSELOR |
Other providers in Soldotna, AK
- Heather Renee Beyers
- Traci L Bicknell
- Derrick Bignell
- Jeanne Bignell
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- Bitesize Pediatric Dentistry, LLC
- Angelica Marie Blake
- Michael Todd Blake
- Victoria M Blakeslee
- Blossom Care Coordination LLC
All providers in Soldotna, AK · Professional Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.