Shirley Kay Durtschi, PH.D., L.P,C., CDCII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

555 Issued in AK

Practice address

273 Crystal Mountain Rd.
Girdwood, AK 99587-1189

Phone

(907) 382-6477

Fax

(907) 729-5071

NPI assigned

Jan 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1679710180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "address_2": "273 CRYSTAL MOUNTAIN RD.",
            "city": "GIRDWOOD",
            "state": "AK",
            "postal_code": "995871189",
            "telephone_number": "907-382-6477",
            "fax_number": "907-522-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 CRYSTAL MOUNTAIN RD.",
            "city": "GIRDWOOD",
            "state": "AK",
            "postal_code": "995871189",
            "telephone_number": "907-382-6477",
            "fax_number": "907-729-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURTSCHI",
        "first_name": "SHIRLEY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P,C., CDCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "3003",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Girdwood, AK
• Providers in Girdwood, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.