Golden Heart Family Therapy, LLC

Primary specialty

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

Legal business name

GOLDEN HEART FAMILY THERAPY, LLC

Practice address

626 2ND St.
Ste 303
Fairbanks, AK 99701

Phone

(907) 750-3010

Fax

(907) 600-5066

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevan Wesley Walker, LMFTNPI 1558691105

Title

Owner/ Marriage & Family Therapist

Phone

(907) 750-3010

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, and the practitioner matching its NPPES authorized official.

• Kevan Wesley Walker

  • Marriage & Family Therapist
  • Goffstown, NH
  • NPI 1558691105
  NPD Authorized official

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1679279723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60474",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997069998",
            "telephone_number": "907-750-3010",
            "fax_number": "907-600-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 2ND ST.",
            "address_2": "STE 303",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-750-3010",
            "fax_number": "907-600-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KEVAN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/ MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "907-750-3010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1558691105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Amy Goff, LCSW
• Shawn K Goggins
• Gold Star Longevity & Wellness LLC
• Golden Heart Community Midwifery LLC
• Golden Heart Emergency Physicians, Inc.
• Golden Heart Health & Wellness
• Golden Heart Medical, LLC
• Golden North Optics, Inc
• Golden Solutions in Home Care
• Golden Solutions Senior Services LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fairbanks, AK
• Providers in Fairbanks, 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 Jan 31, 2023; 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.