Individual provider Active NPI

Marne Prettyman Eggleston, LPC-S, NCC, MAC

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1679965370
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
123531 Issued in AK
Practice address
2440 E Tudor Rd # 995
Anchorage, AK 99507-1185
Phone
(907) 444-4526
Fax
(844) 927-4589
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1502031 AR
Mental Health Counselor 101YM0800X MHC-610 HI
Mental Health Counselor 101YM0800X 11952273-6004 UT
Professional Counselor 101YP2500X CP5097-R NV
Professional Counselor 101YP2500X 123531 AK Primary

Addresses

Primary practice location

2440 E Tudor Rd # 995
Anchorage, AK 99507-1185

Mailing address

2440 E Tudor Rd # 995
Anchorage, AK 99507-1185
Phone (907) 444-4526

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1502031ARMDMental Health Counselor
MHC-610HIMDMental Health Counselor
11952273-6004UTMDMental Health Counselor
123531AKMDProfessional Counselor
CP5097-RNVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Counseling, LLC Mental Health CurrentSince Nov 16, 2021 Accepting new patients

Locations

2440 E Tudor Rd
Anchorage, AK 99507
Phone (907) 444-4526

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1679965370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E TUDOR RD # 995",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071185",
            "telephone_number": "907-444-4526",
            "fax_number": "844-927-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 E TUDOR RD # 995",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071185",
            "telephone_number": "907-444-4526",
            "fax_number": "844-927-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "MARNE",
        "middle_name": "PRETTYMAN",
        "name_prefix": "Ms.",
        "credential": "LPC-S, NCC, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1502031",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-610",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11952273-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5097-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "123531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.