Active NPI
Hope Pattengale
- Counselor
- Anchorage, AK
National Provider Identifier
1619523271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 139903
- Practice address
- 1130 W 6TH Ave Ste 101
Anchorage, AK 99501-1903 - Phone
- (765) 524-2918
- NPI assigned
- Aug 9, 2019
- Last updated
- Aug 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 139903 | AK | Primary |
Addresses
Primary practice location
1130 W 6TH Ave Ste 101
Anchorage, AK 99501-1903
Mailing address
1130 W 6TH Ave Ste 101
Anchorage, AK 99501-1903
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hope@coastalwellnessak.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139903 | AK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Wellness and Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Anchorage, AK
- NPI 1841758752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1619523271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 W 6TH AVE STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995011903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 W 6TH AVE STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995011903",
"telephone_number": "765-524-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTENGALE",
"first_name": "HOPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AK",
"license": "139903",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hope@coastalwellnessak.com",
"affiliation": "N",
"address_1": "1130 W 6th Ave Ste 101",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995011903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.