Organization Active NPI

The Resilio Counseling Group, LLC

  • Community/Behavioral Health Agency
  • Juneau, AK
National Provider Identifier
1629722079
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE RESILIO COUNSELING GROUP, LLC
Practice address
326 4TH St Apt 604
Juneau, AK 99801-1105
Phone
(907) 438-6565
NPI assigned
Feb 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Kristian Gallegos, LCSWNPI 1073975397
Title
Owner
Phone
(907) 438-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

326 4TH St Apt 604
Juneau, AK 99801-1105

Mailing address

326 4TH St Apt 604
Juneau, AK 99801-1105
Phone (907) 438-6565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1629722079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 4TH ST APT 604",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011105",
            "telephone_number": "907-438-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 4TH ST APT 604",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011105",
            "telephone_number": "907-438-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESILIO COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-438-6565",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.