Lora Jae

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

225 Front St Ste 202
Juneau, AK 99801-1244

Phone

(218) 576-2659

NPI assigned

Feb 26, 2020

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Laura Larsen Former name

Medicare fee-for-service enrollment

Enrolled in TX, AK2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anchorage Community Mental Health Services IncGroup PAC ID 1052213089, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anchorage Community Mental Health Services Inc.

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1326268301
  Medicare reassignment Care Compare group NPD
• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Anchorage Community Mental Health Services, Inc

  dba Alaska Behavioral Health

  • Primary Care Nurse Practitioner
  • Fairbanks, AK
  • NPI 1083431688
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Specialty Care Clinic- Salmon Creek

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• Southeast Alaska Regional Health Consortium

  dba Searhc Coffman Cove Clinic

  • Federally Qualified Health Center (FQHC)
  • Coffman Cove, AK
  • NPI 1932645512
  NPD

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1497389647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FRONT ST STE 202",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011244",
            "telephone_number": "218-576-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FRONT ST STE 202",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011244",
            "telephone_number": "218-576-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAE",
        "first_name": "LORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LARSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jackie Campbell Counseling
• Keegan Marie Jackson, M.D.
• Sylina Jackson
• Frank David Joseph Jacob
• Katie Dawn Jacobs
• Kristina Jager
• Rosita Ann James
• Jamhi Health & Wellness, Inc
• Jamhi Health & Wellness, Inc
• Jamhi Health & Wellness, Inc

• Clinical Social Worker in Juneau, AK
• Providers in Juneau, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.