Individual provider Active NPI

Bernice Nisbett, MHS

  • Mental Health Counselor
  • Anchorage, AK
National Provider Identifier
1639769128
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3760 Piper St Ste Ll139
Anchorage, AK 99508-4683
Phone
(907) 563-5006
Fax
(907) 563-3217
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AK Primary

Addresses

Primary practice location

3760 Piper St Ste Ll139
Anchorage, AK 99508-4683

Mailing address

PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068

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
I20250529001794 AK Practitioner - Mental Health Counselor 8921527243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Mental Health Co-Op LLCGroup PAC ID 0143747881, 4 clinicians

Practice addresses (Care Compare)

1901 N Hemmer Rd
Suite 209
Palmer, AK 99645-9673
Phone (907) 313-6090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Co-Op LLC CurrentSince May 16, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 24, 2021 Accepting new patients
Foundations Therapeutic Services, LLC PastSince Feb 16, 2020 Accepting new patients
Providence Health & Services - Washington PastSince Jan 24, 2021 Accepting new patients

Locations

3760 Piper St
Ste LL139
Anchorage, AK 99508
Phone (907) 212-6240

1901 N Hemmer Rd
Ste 209
Palmer, AK 99645
Phone (907) 390-0542

Organizations & group practices 4

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1639769128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 PIPER ST STE LL139",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084683",
            "telephone_number": "907-563-5006",
            "fax_number": "907-563-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISBETT",
        "first_name": "BERNICE",
        "credential": "MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.