Resiliency Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESILIENCY COUNSELING SERVICES LLC

Practice address

9000 Glacier Hwy Ste 202
Juneau, AK 99801-8097

Phone

(907) 206-2254

Fax

(213) 474-8931

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Andrea Michelle Gibson, LCSWNPI 1033568563

Title

Owner/Sole Employee

Phone

(907) 206-2254

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Andrea Michelle Gibson, LCSW

  • Clinical Social Worker
  • Juneau, AK
  • NPI 1033568563
  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1659989267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 GLACIER HWY STE 202",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018097",
            "telephone_number": "907-206-2254",
            "fax_number": "213-474-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 GLACIER HWY STE 202",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018097",
            "telephone_number": "907-206-2254",
            "fax_number": "213-474-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/SOLE EMPLOYEE",
        "authorized_official_telephone_number": "907-206-2254",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704229",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kathleen Perry Reis, NCBTMB MT, CLT
• Jon A Reiswig, MD,
• Jacquelyn Eve Relihan
• Charles Renick
• Montanna Rae Requa
• Dany Reyes
• Jane Apple Reynolds
• Lee Reynolds
• Natasha Reynolds
• Theresa Reynolds, RDN, LD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Juneau, AK
• Providers in Juneau, AK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.