Active NPI
Mark Sabo, LPC
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1649671835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 188914
- Practice address
- 1450 Muldoon Rd Ste 111
Anchorage, AK 99504-2873 - Phone
- (907) 762-8668
- Fax
- (907) 375-3177
- NPI assigned
- Sep 8, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 188914 | AK | Primary |
Addresses
Primary practice location
1450 Muldoon Rd Ste 111
Anchorage, AK 99504-2873
Mailing address
1450 Muldoon Rd Ste 111
Anchorage, AK 99504-2873
Phone (907) 762-8668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188914 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1649671835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 MULDOON RD STE 111",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995042873",
"telephone_number": "907-762-8668",
"fax_number": "907-375-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 MULDOON RD STE 111",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995042873",
"telephone_number": "907-762-8668",
"fax_number": "907-375-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABO",
"first_name": "MARK",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-08",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "188914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 21, 2024; 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.