A Light for My Path Counseling, LLC

Primary specialty

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

Legal business name

A LIGHT FOR MY PATH COUNSELING, LLC

Doing business as

Jessica Depweg, LPC

Practice address

6861 W Sandvik Dr
Wasilla, AK 99654

Phone

(601) 451-4656

NPI assigned

Sep 7, 2023

Last updated

Sep 7, 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

Mrs. Jessica Depweg, MA, LPC, NCCNPI 1861066573

Title

Owner

Phone

(907) 727-4656

Specialties & licenses 1

Addresses

Other names 1

• Jessica Depweg, LPC Doing business as

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.

• Jessica Depweg, LPC

  • Professional Counselor
  • Wasilla, AK
  • NPI 1861066573
  NPD Authorized official

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1689450223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 W PARKS HWY # 360",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239300",
            "telephone_number": "601-451-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 W SANDVIK DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "601-451-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIGHT FOR MY PATH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-03",
        "status": "A",
        "authorized_official_last_name": "DEPWEG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-727-4656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica Depweg, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Wasilla, AK
• Providers in Wasilla, 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 Sep 7, 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.