Rebekah Mathiesen

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168

Phone

(907) 770-3656

Fax

(907) 562-4503

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 2021By 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 1

Addresses

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

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.

• Wisdom Traditions Counseling Services, LLC

  dba Alaska Wisdom Recovery

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1467775676
  Medicare reassignment NPD
• Wisdom Traditions Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1518582063
  NPD
• Wisdom Traditions Counseling Services, LLC

  dba Alaska Wisdom Recovery

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1881879922

  Counselor

  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1639848260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-770-3656",
            "fax_number": "907-562-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-770-3656",
            "fax_number": "907-562-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIESEN",
        "first_name": "REBEKAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Anne Matesich, MS CCCA REEGEPNCST
• Adriel Mathew, L.M.T.
• Theresa Mathew
• Laura Mathews, CDC-S
• Vanessa G Mathiason
• Kevin Matier, M.S., LPC
• Kaylene Dawnette Matika, MS
• Lars Elias Matkin, MD
• Karen Matlock
• Tamra Matlock, LPC

• Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.