Individual provider Active NPI

Susan Ratcliffe, LPC, CDC1

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1477102705
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
165242 Issued in AK
Practice address
2121 Abbott Rd
Anchorage, AK 99507-4450
Phone
(907) 522-7080
Fax
(907) 522-7088
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 165242 AK
Professional Counselor 101YP2500X 165242 AK Primary

Addresses

Primary practice location

2121 Abbott Rd
Anchorage, AK 99507-4450

Mailing address

2121 Abbott Rd
Anchorage, AK 99507-4450
Phone (907) 522-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407000837 AK Practitioner - Mental Health Counselor 0941724447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Health AssociatesGroup PAC ID 7517950686, 12 clinicians

Practice addresses (Care Compare)

2121 Abbott Rd
Suite 202
Anchorage, AK 99507-4450
Phone (907) 522-7090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
165242AKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Health Associates CurrentSince Mar 3, 2024 Accepting new patients
Christian Health Associates CurrentSince Dec 30, 2024 Accepting new patients
Christian Health Associates Addiction (Substance Use Disorder) CurrentSince Dec 30, 2024 Accepting new patients

Locations

2121 Abbott Rd
Ste 201
Anchorage, AK 99507
Phone (907) 522-7080

1825 Academy Dr
Anchorage, AK 99507
Phone (907) 522-7080

2121 Abbott Rd
Ste 202
Anchorage, AK 99507
Phone (907) 522-7090

2121 Abbott Rd
Anchorage, AK 99507
Phone (907) 522-7080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1477102705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 ABBOTT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074450",
            "telephone_number": "907-522-7080",
            "fax_number": "907-522-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ABBOTT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074450",
            "telephone_number": "907-522-7080",
            "fax_number": "907-522-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFFE",
        "first_name": "SUSAN",
        "credential": "LPC, CDC1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "165242",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "165242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.