Individual provider Active NPI

Richard Robb, LPC

  • Professional Counselor
  • Bethel, AK
National Provider Identifier
1649492216
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
521 Issued in AK
Practice address
PO Box 1908
Bethel, AK 99559-1908
Phone
(907) 543-3773
Fax
(907) 543-3435
NPI assigned
May 3, 2007
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 521 AK Primary

Addresses

Primary practice location

PO Box 1908
Bethel, AK 99559-1908

Mailing address

PO Box 1908
Bethel, AK 99559-1908
Phone (907) 543-3773

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
I20240610002590 AK Practitioner - Mental Health Counselor 7214479914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethel Family ClinicGroup PAC ID 7719876416, 4 clinicians

Practice addresses (Care Compare)

PO Box
Suite 1908
Bethel, AK 99559-1908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
521AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Bethel Family Clinic CurrentSince Apr 13, 2024 Accepting new patients
Bethel Family Clinic CurrentSince Apr 13, 2024 Accepting new patients
Brightside Medical, P.C. Past Accepting new patients

Locations

3300 Artic Blvd
Ste 201
Anchorage, AK 99503
Phone (907) 268-4234

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1649492216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995591908",
            "telephone_number": "907-543-3773",
            "fax_number": "907-543-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995591908",
            "telephone_number": "907-543-3773",
            "fax_number": "907-543-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "RICHARD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, AK

Sources for this page

Verify at the official NPI Registry.